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bENEVOLENCE rEQUEST fORM
Note: All requests are based on allotted annual Benevolence funding availability.
This form is to apply for assistance with the following:
Utilities
Rental Assistance
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Please complete the form below and someone from our Human Resources Department will be in contact with you. All information will be reviewed and you will be contacted regarding the decision.
Please be patient as we process your request.
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Any requests for event sponsorships will be denied.
**DO NOT MOVE TO CALIFORNIA WITHOUT A PLAN FOR HOUSING AND SUSTAINABLE INCOME PRIOR TO MOVING**
** When filling out the form using your phone, please turn phone horizontally for best results and click green pen in upper right hand corner to submit form.**
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