IMIrJ Sanctuary Fund Application

IMIrJ Sanctuary Fund Application

The IMIrJ Sanctuary Fund provides monetary grants to support the organization’s (im)migrant justice work. This includes support for individuals and families and stipends for hosts.

Source of Funds

IMIrJ solicits funds from the community using various outreach methods. Donations to IMIrJ may be designated to fund the IMIrJ Sanctuary Fund.

Decision Making

Funds are granted based on current needs, priorities, and capacity. The Fund must maintain a minimum balance of $500.00 to cover any lingering charges.

We try to respond to requests within one week of submission and send payment within ten working days of approval if the grant is approved. For large grant requests, a portion of the grant request may be approved.

Decisions made by this subcircle of the Mission Circle or Board are final.
Email*
example@example.com
Date*

MonthDayYear
Date
Does this request require immediate action, Yes or No? Tell us the nature of the urgency so we can respond accordingly. Please tell us of any date requirements to receive funding. Be aware that the wait time for approved grantees is at least ten business days.*
Applicant's information

Below is information about the person applying and some details about the request. The Applicant and the Recipient may be the same person or organization. The Applicant is the person IMIrJ will work with if there are any questions about the request.
Applicant's Name*
Does the applicant represent an Organization If so what is the name and website of the organization
Applicant's Email*
example@example.com
Applicant's Phone or WhatsApp Number*
Please enter a valid phone number.
Funding Request ($) - Please be specific, stating the funds requested for the purposes below. We need a total dollar amount. If your request is for funding over time (e.g., monthly support for a host family), please let us know the duration of support needed. If you are requesting funds for a hotel, rent, or security deposit, funds can only be paid directly to the hotel or rental agency.*
Type of Application*

Applying for an individualApplying for a familyApplying to support a hostApplying for a community partner or organization supporting immigrantsOther
Purpose of the funds*

Hotel room expense - to be paid to hotelRent - to be paid to rental agencySecurity Deposit or other fees for an apartment - to be paid to rental agencySupport of a host familyTransportationFoodCell phone costsOther
Why are you requesting a grant? - What is the situation? How will a grant help? Being specific will be helpful to IMIrJ in decision-making.*
Would you like to meet with one of IMIrJ's organizers to learn more about IMIrJ and opportunities for you and your family to engage?

YesNo
Recipient's Information

This section provides information about the grant Recipient. Who will receive the grant if approved? (If the applicant and recipient are the same, fill in the fields with "Same.") How will you receive the grant? Cumulative grants totaling more than $600 require the Recipient to complete a Federal W9 form (which we will provide) with taxpayer identification information before grants will be disbursed. If the request is for rent or hotel expenses, the recipient must be the rental agency of the hotel.
Recipient's Name - This may be the same name as the Applicant. If the applicant and recipient are the same, fill in the fields with "Same." If the request is for rent or hotel expenses, the recipient must be the rental agency of the hotel.*
Recipient's Phone or WhatsApp number*
Recipient's email address*
example@example.com
Recipient's Family information - Number of children and ages as well as other family members This information is needed only if the funds are to be used for hotel costs
Disbursement Address

If approved, we need to know how to deliver the grant. Provide the Recipient's Name Address City, State, Zip Code. If your request is for rental assistance, security deposits, or hotel room costs, the rental agency or hotel must be listed here.
Name of Rental Agency or Hotel
Rental Agency or Hotel
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Information

Is there anything else you would like us to know?
Add any comments you consider important
Should be Empty:

Applicant's information

Recipient's Information

Disbursement Address

Other Information