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Volunteer Crisis Fund
CFD Volunteers First
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CFD Volunteer Crisis Fund Request
Recipient Full Name and Full Name of Person Making Request (if different than recipient)
Contact Phone Number
Recipient Phone Number (If different than above)
Recipient aware of this request?
Recipent Address
What CFD committee is the recipient a member of and how long has the recipient been a CFD volunteer?
Why is assistance being requested? (Please provide as much detail as possible as to the
situation
that caused the need for assistance)
What assistance is being requested? (Please provide detail including how funds will be used)
Medical?
Bills (Mortgage, Utilities, Etc)?
Funeral Expenses?
Other?
Total amount of assistance being requested
What resources are currently available to the potential recipient? (Savings, Insurance, Investments, other sources of resources/funds available, etc)
Submit
Thank you for submitting the request for a donation.
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