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Client’s Corner
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Companions
About OIC
Join OIC
Resources
Client’s Corner
Contact Us
Emergency Fund Application
Contact Information
Work Name
*
Email Address
*
Application Details
Would you like your need for funding to remain internal to OIC Members only?
*
Please Select
Yes
No
Would you like your need for funding to remain anonymous to anyone outside of OIC during fundraising efforts?
*
Please Select
Yes
No
Would you like your need for funding to remain anonymous to OIC Members (excluding Committee Members)?
*
Please Select
Yes
No
Funding Amount Needed
*
Please select which method of funding you are able to accept or that works best for your situation.
*
E-transfer
Cash
Visa/MasterCard Gift Cards
Other Gift Cards (Ex. Grocery Stores, Amazon, Etc.)
Select all that apply.
Would you be open to other practical supports such as peer support, social services, non-SW specific resources?
*
Please Select
Yes
No
Please describe the issue(s) you are facing and your reason for your application.
*
Upload file
Drag and Drop (or)
Choose Files
Please provide any documents, bills, etc. to support your application.
Submit Application
