General Assistance Fund Application

General Assistance Fund Application

General Assistance Fund Application
Important Information:

QLN's General Assistance Fund provides direct financial support to LGBTQIA2+ people in crisis. This program is currently limited to Texas residents, with plans to expand to additional regions in the future.

Please review the following before applying:
- Applicants must reside in Texas and will be asked to upload proof of address (e.g., Texas ID, utility bill, or similar document in your name)
- Applicants may receive up to $125 per request ($500 total per calendar year) to help with bills through this fund. Any individual who receives more than $500 per calendar year will be subject to legal and tax implications.
- Applications submitted from flagged IP addresses or VPNs will be denied, and repeated activity will result in a ban from future applications.
Thank you for understanding and for being part of a community rooted in care, dignity, and stability.

* Submitting an application does not guarantee approval or disbursement, as support funds are limited.

Personal Information
Full Legal Name*
Your legal name is for internal tracking purposes. We will only refer to you by your preferred name.
Preferred Name*
Please type your preferred name.
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Thank you for your interest. QLN's Empowerment Microgrants are currently limited to queer and trans Texans.
Proof of Address*

Please upload proof of address (valid ID, utility bill, active lease, etc.). Feel free to redact any confidential information other than your name and address.
Cancelof
Do you identify as LGBTQIA2+?*

YesNo
Thank you for your interest. QLN's Empowerment Microgrants are reserved for individuals in the LGBTQIA2+ community.