Follow the steps to complete your online application.

1. Click 'Get Form' button to obtain the application and open it in your preferred editor.
2. Begin with the team member information section. Fill in your personal details, including your name, Team Member ID, address, and contact information. Be sure to indicate your preferred method of contact and whether it's okay to leave a message.
3. Next, complete the work information section with your job title, store number, and work status. If you are part-time, specify the reason for your status and provide your average weekly hours.
4. In the background information section, provide a detailed description of your situation, including the events leading up to your need for assistance and the steps you have already taken to address the situation.
5. In the actions already taken section, list all efforts made to support yourself before applying. Include any community resources utilized and specify amounts received and dates.
6. If applicable, complete the leave of absence section. Answer the questions regarding your LOA paperwork and entitlements.
7. Provide household information by listing all adults residing with you and their relationships to you, followed by their income details.
8. Next, itemize all household bills and expenses. For each expense, include the payment amount, frequency, due date, and if applicable, any past due amounts.
9. In the grant request section, detail the type of expense for which you are requesting assistance, including the specific dollar amount required and the due date of the bill or invoice.
10. Review your application to ensure all sections are complete, then sign the declaration affirming the truthfulness of the provided information.
11. Ensure you’ve attached all required supporting documentation and submit your completed application via mail or fax as specified.

Complete your document online today to receive the support you need.