The HRI Community Collective Fund Request Form
Purpose: The HRI Community Collective Fund exists to provide timely support for individuals and families in need, ensuring our community remains strong and connected.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Zip Code
Additional Information
Preferred Contact Method
email
phone
Request Details (check all that apply)
Emergency support (e.g. service denial/appeal assistance)
Meals/Food Assistance
Workshop or Session Access
Other (please specify below):
Brief Description of Your Situation:
How will this support help you or your family?
Submit
Should be Empty: