Funding Request

Once all information is received, a decision will be made within 24 hours.

Name of person funding is for (Applicant)(Required)

First

Applicant's phone number(Required)

Applicant's email(Required)

Amount requested(Required)

Applicant's connection to Worcester County(Required)

How will funding benefit applicant’s recovery?(Required)

How can this information be verified?(Required)

If approved, where should the check be mailed?(Required)

Comments

This field is for validation purposes and should be left unchanged.

Checks are normally mailed on Sunday and Monday. If the check is not received within ten days of the request, please text Debbie Smullen at 410-870-5161.

Download Application Here