Visit Corpus Christi Cares Application

Please fill out the following application if you believe you meet the necessary criteria for Visit Corpus Christi Cares assistance. Financial assistance is only available to hospitality and tourism industry employees after meeting the criteria, and completion of the application process and scoring process. Acceptance is not guaranteed and financial assistance is not available for businesses.

Please only apply if insurance is not providing you with compensation for your emergency.

If you are unable to complete this form online, you may download a paper copy of the application form. The form is a PDF document. Please submit the completed application to visitCCcares@cctexas.org with the subject line: Application.

All required fields in the application form are marked with a *.
Required Documents

Please gather and upload these documents before beginning to complete this form. These documents are necessary for an accurate and timely review of your application.
Letter of support/reference from most recent employer with supervisor contact information

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Most recent three (3) paycheck stubs
Pay stub 1

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Pay stub 2

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Pay stub 3

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Supporting Documents

Please provide any additional documents that relate to your hardship/emergency. These can be documents such as:
- Lease or mortgage statement
- Utility bills and related disconnect or late notices that lead to the need for emergency funding
- Other materials you think we should know about your experience of loss (i.e. doctors' bills, HOA notices, FEMA letters, repair estimates, etc.)
You may include up to five (5) documents.
Supporting document 1

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Supporting document 2

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Supporting document 3

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Supporting document 4

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Accepted formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, eml, jpg, jpeg, png, gif Cancelof
Supporting document 5

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Accepted formats: pdf, doc, docx, xls, xlsx, csv, txt, rtf, eml, jpg, jpeg, png, gif Cancelof
Personal Information for Applicant

If you are granted funding by Visit Corpus Christi Cares, payment will be mailed to the address you provide below. VCC Cares will not be responsible for cancelling checks if the payment is not received due to a change in address (unless we are notified in advance of mailing) or incorrect information is provided.
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address:*
Phone Number:*
How did you hear about the VCC Cares Program?* (Please select all options that apply. )*

EmployerNews / MediaFriendSocial MediaOther (please specify)
If you selected "Other" please also provide a brief summary of how you heard about the Visit Corpus Christi Cares program.
Information About Your Hardship/Emergency

Please fill in these fields to the best of your ability and include as much detail as possible.
How long have you been out of work?*
Which best describes your employment situation?*

Permanently laid offTemporarily furloughed without payTemporarily furloughed with pay but without tipsTemporarily furloughed with pay
Hardship Impact Statement*
One or more of my utilities is scheduled for disconnection*

YesNo
I am behind in my rent/mortgage*

YesNo
Physical Health
Do you have any physical health related issues that you would like to be taken into consideration for financial assistance? If so, please describe. If not, please enter "None" into this field.*
Do you currently have health insurance?*

YesNo
Financial Worksheet for Application
Total number of adults in your home*
Total number of children in your home*
Total Monthly Childcare Expenses*
Total Monthly Household Expenses*
Your Share of Monthly Expenses*
Total Monthly Household Income (average, after taxes, amount you take home each month)*
List of everyone who lives in your home

Please list everyone who lives in your home, including yourself. Please fill in all of the fields for each person. If you live alone, you need to fill in the fields for "Yourself".
Yourself*
List all other people in your household. For monetary contributor, enter Yes or No.
Employment History

Please provide the past 6 months of employment history, starting with your most recent/current employment.
Most Recent Employment
Employer*
Start Date*

MonthDayYear
Date
End Date (if currently working, leave blank)

MonthDayYear
Date
Manager's Name*
Manager's Phone Number*
Average number of hours per week*
Employer's Address*
Employer's County*
Employer's Phone Number*
Does your employer provide disaster assistance?*

YesNo
Describe your employer (If you select the "Other" option, please provide a description of your employer)

RestaurantAttractionHotel/LodgingCoffee Shop/Cafeteria/Deli counterBrewery/Bar/Beverage providerOther (please specify)
If you selected the "Other" option, please provide a description of your employer:
Additional Employers*
Worker Stability Survey
Which best describes your household income?*

No incomeIncome is extremely low and inadequate for meeting basic needsIncome is low but adequate for meeting basic needsIncome is sufficient at times but can be irregular and variableIncome is sufficient and stable, adequate for paying monthly bills, and provides for some non-essential spending and saving
I cannot pay my monthly bills on time*

OftenSometimesNever
I get late fees on my bill payments*

OftenSometimesNever
I cannot afford adequate food for myself or my family*

OftenSometimesNever
I am without a safety net of support from friends, family, or religious groups*

OftenSometimesNever
Do you receive any other form of income? (TANF/Food Stamps/Child Support, etc.), and if so, what?*
Please verify that you are human*
Should be Empty:

Required Documents

Most recent three (3) paycheck stubs

Supporting Documents

Personal Information for Applicant

Information About Your Hardship/Emergency

Physical Health

Financial Worksheet for Application

List of everyone who lives in your home

Employment History

Most Recent Employment

Worker Stability Survey