Ida Assistance Application
UNITE HERE Education & Support Fund Hurricane Ida Relief for New Orleans Area Hospitality Industry Workers
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
By providing my phone number, I am opting to receive recurring text messages from UNITE HERE and that standard message & data rates may apply. I understand that I can unsubscribe at any time.
Where do you work?
*
Please Select
Compass-Algiers Charter Schools
Convention Center-Centerplate-New Orleans
DNC-New Orleans (MSY)
Harrahs-New Orleans
Hilton Riverside
Loews Hotel
OTHER
If OTHER, what is the name of your workplace?
If OTHER, what company do you work for?
How would you like to receive the donation?
*
Please Select
Check/Cash Card
*** Be sure to include your correct, current phone number and your correct, current address to be able to get your card.
What is your job classification?
*
N/A
Submit
Should be Empty: