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Welcome
Please fill out the AJAC Emergency Grant Application and then be sure to upload your supporting documents using the DropBox link on the website.
7
Questions
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
What is your Apprenticeship Occupation
Please Select
Automation Technician (Youth)
CNC Programmer
Industrial Machine Operator
Industrial Maintenance Technician
Logistics Specialist
Machinist
Manufacturing Technician
Operations Specialist
Plastic Processing Technician
Production Technician (Youth)
Tool & Die Maker
MA Student/Grad
Please Select
Please Select
Automation Technician (Youth)
CNC Programmer
Industrial Machine Operator
Industrial Maintenance Technician
Logistics Specialist
Machinist
Manufacturing Technician
Operations Specialist
Plastic Processing Technician
Production Technician (Youth)
Tool & Die Maker
MA Student/Grad
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5
What do you need assistance with that these funds will provide?
Apprenticeship Related Costs (ex: textbooks, tuition fees, tools)
Housing and Bills (Ex: rent, mortgage, electric, water, phone, internet)
Health or Dental care
Childcare and/or dependent care
Uniform or work related PPE
Payments & fees for training or certificates
Legal services
Other
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6
What is the reason you're requesting assistance (please provide an explanation that supports the response you selected in the previous question)?
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7
How much are you requesting ($1,000 max)?
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