NEO Music Relief Fund – Cleveland Rocks: Past, Present & Future

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Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Tell us about your situation

What do you primarily do for work within the music sector?

Do you normally have a primary venue or organization you work for? Or do you work several jobs to make ends meet? Please name your main sources of income.

How long have you worked in the music sector?

How has coronavirus affected your employment or income?

If you had to guess, How much would you normally make in tips or through gigs in one week (before pandemic)?

How many people live in your household, including you? (Enter a number like 1 or 3)

How many dependents do you have -- as in children or other adults you support financially? (Enter a number like 1 or 3)

Can you currently afford to make your next rent/mortgage payment?

No
Yes

Does your family have enough to eat right now?

No
Yes

How many weeks can you afford groceries for?

Is there anything else you would like us to know about your economic situation?

Is there anything else that you wish to share? (Optional)

The maximum grant is $500 per person; please enter the total amount of your request. *

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Tell us about your situation

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