CIMC recently received funds to implement a COVID-19 response program that can provide food assistance or transportation assistance.
Attached below is the application form for the program. Eligibility requirements are that the applicant is Native American, experiencing financial hardship due to COVID-19 pandemic and lives one of the following California counties: Fresno, Kern, Kings, Madera, Mariposa, Merced, San Joaquin, Stanislaus and Tulare.
To submit the application: The applicant must complete and sign the attached form to provide information on each household. Include mailing address, type of assistance needed, and contact information. Incomplete applications will not be processed. Once signed, the applicant can email the application to Seabaze Whitmore at firstname.lastname@example.org. Her email is also provided on the application as well. We understand that it may be difficult for some community members to print, sign and then scan back to us, so applicants may also submit their application via e-signature. The link for the –signature application is provided here: COVID-19 Application
For the services, CIMC is offering grocery gift cards and checks for transportation assistance. Transportation assistance and grocery cards will be shipped to the mailing address listed on the application. Due to the limited amount of funding that is currently available, at this time households are only eligible to receive either food assistance or transportation assistance. First time applicants receive priority.
If a household receives a Safeway gift card for $150, each household must sign and return the attached Safeway Gift Card Agreement when the gift card is received. A pre-addressed, postage-paid envelope will be enclosed. If a household receives a check for transportation assistance for $100, each household must sign and return the attached Transportation Agreement when check is received. A pre-addressed, postage-paid envelope will be enclosed.
COVID-19 Emergency Assistance Application_fillable
SAfeway GIftcard agreement -$150 (002)