Grant Referral Form
If you know someone in need, please let us know. We can reach out to you or the person in need directly. All information submitted remains confidential and will only be discussed with the applicant.
This form only starts an application. We must receive: personal statement with hardship and missed work information, proof of employment, copies of bills and the financial worksheet. Information can be found in the full grant application.
How did you hear about The Giving Kitchen?
A friend or co-worker
I am a previous grantee
My manager or owner
At an event
from a TGK staff member
If at an event or other, please share more:
Do you know someone in need?
Self/Worker in crisis
Other/Friend/Coworker of person in crisis
Name of person in need:
Email of person in need:
Phone Number of person in need:
Restauarant where the person in need works (just used for area and type of business)
Position of worker
Name of person submitting referral (if different):
Email of person submitting referral (if different):
Phone Number of person submitting referral (if different):
Type of Unexpected Hardship:
Funeral/Death of a family member
Please tell us just a few words about the unanticipated hardship and about any lost work or wages.
Best person to contact:
Person making referral
Worker in need
Zip code of person in need
Type the characters from the image below.
Do Not Fill This Out