Application for Financial Assistance Company Sponsor Verification

An asterisk (*) indicates a required field.

Company

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

Role of the Applicant’s Employer in the Grant Process

Grants awarded through the AWCI CARES program of the Foundation of the Wall and Ceiling Industry are made possible through the generous financial support of the Association of the Wall and Ceiling Industry’s member companies. A signature from a senior executive of the applicant’s company (sponsor) is required to ensure that the company vouches for the applicant and supports consideration of this grant application. The sponsor may be asked to help to further facilitate this grant request should additional information be required.

This Sponsor Verification must be completed by the employer.

Applicant Name*

First Last

Name of Employer*

Date of Employment From*

Date of Employment To

Please leave blank if still working.

Employee Status:*

Working

On FLMA

Is the applicant requesting/receiving workers’ compensation?*

Yes

Is the applicant currently employed by your company, which is an AWCI member in good standing?*

Yes

Provide additional information about the applicant and their need for financial assistance.*

Executive Name*

First Last

Title*

Phone*

Email*

Date

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