Submit a request for somebody else
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Date *
Your Name *
*In order to qualify for assistance, you must be a primary GAR REALTOR® or Affiliate Member in good standing for a minimum of three (3) years.
Office Name *
Address Line 1
Address provided above *
Home
Office
Email *
Phone *
What is you hardship? *
Do you have any other source of household income? If yes, please explain. *
Have you previously received funds from the GRCF? *
Yes
No
Have you previously contributed to GRCF? *
Yes
No
Amount Requested *
Funds will be released only to pay or reimburse applicant for expenses falling into the approved categories of health/ medical, family emergency, and memorial. Funds shall not be used to pay directly any amount due to GAR. Funds released for any applicant will be between $100 minimum and $1,000 maximum per occurrence.
Help Others By Sharing Your Story: *
Should your application be approved, do you give GRCF permission to share your story of how GRCF has helped you? (Your name will be withheld). If you select “yes,” we will contact you for more information and to obtain your approval on what will be shared.
Yes
No
