CHF Application

2017 Florence James Children's Holiday Fund
application for $150 (per child under 18 years)

EARP recipients with children are eligible to apply for an additional grant to address holiday needs.
To be eligible for this program, you must have been a previous recipient of our Emergency Aid & Relief Program.

Grants are available on a first come, first served basis. Applications must be received by December 5, 2017.

* Indicates required field

Parent(s) Name(s) *

Name(s) and Age(s) of Child (Children) *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Are you a current or former EAG applicant? *

Yes No

If yes, when did you receive assistance from EAG? *

If no, please provide a brief history of your work in the performing arts. *

Briefly describe your current situation and how your family will benefit from this grant. *

This year, we are offering all CHF recipients a free bag of groceries from the Actors Pantry containing all of the fixings for a traditional holiday meal. Are you interested in receiving this? *

Yes No

Additional comments? *

Submit

2017 Florence James Children's Holiday Fundapplication for $150 (per child under 18 years)

2017 Florence James Children's Holiday Fund
application for $150 (per child under 18 years)