GFF Quick Application Quick Application Please complete and submit your application. A GFF representative will be in contact with you. Name(Required) First Last Phone(Required)Email(Required) My Communication Preferences(Required) Phone: OK to leave a message Phone: Do not leave a message Email Text Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Generations Community Name Status Current Employee Current Resident Former Employeee Former Resident Current Employee Start Date MM slash DD slash YYYY Resident Move In Date MM slash DD slash YYYY Former Employee Start Date MM slash DD slash YYYY Former Employee End Date MM slash DD slash YYYY Former Resident Start Date MM slash DD slash YYYY Former Resident End Date MM slash DD slash YYYY Which category do you think the incident (that caused the financial hardship) falls under? Home Catastrophe (fire, flood, hurricane, other natural disaster, home evacuation, unsafe living conditions) Personal or Medical Emergency (sudden/acute illness or injury, critically ill immediate family, non-medical emergencies such as loss due to theft, falling victim to a crime, spouse laid off work) Death Incident, Funeral, or Emergency Travel (unexpected death in the family, travel expenses for attending funeral or caring for a terminally ill immediate family member) Military Deployment Hardship (initial need when an employee or spouse is deployed) Other Other Name of Incident (example: type of injury, name of illness, fire, flood, etc.) Date of Incident MM slash DD slash YYYY Do circumstances threaten you or an immediate family member’s health and/or welfare? Yes No How many people live in your household (including yourself)? Number of children (dependent) Ages of children Who has been affected by the situation? Amount/kind of assistance requested Is your request for short-term assistance? Yes No Are you/the affected person covered by medical or disability insurance? Yes No If your home was damaged, will insurance cover any part of the cost? Yes No If relevant to the incident/application, what is your insurance deductible amount? Have you applied for financial assistance from GFF before? Yes No When did you apply for financial assistance? What was the outcome? How will the assistance and/or any funds given be used/spent? (What vendors/services/utility expenses will it apply to or reimburse for?)Please attach any appropriate bills, invoices, receipts, statements, or support documents.Max. file size: 100 MB.What will you do if you do not get assistance from GFF?Describe the incident in detail. What happened?Terms and Conditions(Required) I agree to the Terms and ConditionsInformation to the Applicant Our Purpose: Generations Family Foundation (GFF) is dedicated to providing short-term, immediate relief to current and former employees and residents of the Generations family of companies and communities who have suffered hardship as a result of natural disaster, family death, medical emergency, or other unexpected crisis or distress that has created a financial need. Our Limitations: According to our process, charity law, and to be careful stewards of donated funds we are entrusted with, we are unable to assist people who are unfortunate victims of a hardship or emergency, if they are not determined to be in objective need or distress as a result. GFF is unable to provide assistance/funds for use outside of the US. Confidentiality: GFF takes all care to protect privacy. This application will be treated in a confidential manner. Primary Assistance Method: Form of assistance will vary according to circumstances. If applicable to the situation, GFF will make every effort to make payment directly to the outside vendor or service provider on behalf of the applicant. Tax Exempt: If requirements are met, GFF payments or assistance in response to a disaster or emergency hardship are for charitable purposes and will not result in taxable compensation. Applicant Agreement Correct and Full Information: You agree that information provided is true, complete, accurate, and not misleading. (False and/or misleading information will result in a denied application now and in future.) Authorization Given: You authorize GFF to obtain and/or verify information necessary to process this application. In addition, you agree to provide additional supporting documentation and information if requested. Use of Funds: You agree any amount granted by GFF will be used for purposes requested or indicated. To protect our status as a public charity, you understand any amounts subsequently reimbursed by insurance or other sources will be returned to the GFF.CAPTCHA
