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Capital Area COVID-19 Community Response & Recovery Fund - Nonprofit Application

Invalid Submission Values

    Applicant Information

    I understand that Capital Area United Way may list my organization in media updates and to provide general information to the public.

    I understand that this application, if approved, represents a one-time assistance payment, to help in a financial emergency that has arisen due to the restrictions put in place by federal, state, and local governments regarding the COVID-19 pandemic.

    I am furnishing accurate information to the best of my ability. I understand that falsifying information will disqualify me for assistance. I authorize the Capital Area United Way to furnish and request information from others in order to obtain help that I need.

    Example: ##/##/####