COVID-19 Rapid Relief Grant

The Pascua Yaqui Tribe Charitable Organization is committed to helping the community recover from the ravages of COVID-19 in our communities.

Our organization is a grateful recipient of funds from the United Way of Southern Arizona. This funding has allowed us to provide direct assistance to families negatively impacted by the pandemic.

COVID-19 Rapid Relief Funding

To qualify for Eviction Relief, Funerary Expenses, or utility assistance, please fill out this form COMPLETELY and provide evidence to support your application. Due to the high volume of applications that we are receiving and our limited staff, we may not be able to provide a timely response to all applicants. If you do not receive a response, it is likely that your application is deemed incomplete, or you didn't meet the eligibility criteria for funding.

"*" indicates required fields

MM slash DD slash YYYY
Name
Address
The Pascua Yaqui Tribe Charitable Organization was organized to provide assistance to the Pascua Yaqui communities in Arizona. Please indicate which community you are associated with and/or your relationship to the community.
Type of household*
If none, enter the number zero in the field.
In anyone in your household of Hispanic or Latinx origin?
Gender of the head of household*
How do members of this household describe their race? (check all that apply, for any member of the household)*
Is anyone in the household age 65 or older?*
Is anyone in this household a veteran?*
Does anyone in this household have a disability or chronic health condition?*
Please provide the amount requested, and be willing to provide evidence, such as invoice from the funeral home, Eviction Notice from landlord, COVID-19 positive test result, etc.
Drop files here or
Max. file size: 50 MB.
    Please provide evidence to support your request. Acceptable forms of evidence may include: an invoice from the funeral home, Eviction Notice from landlord, COVID-19 positive test result, etc, Notice of layoff from employer, etc.
    Request Type*

    Please provide as much detail here as possible.
    Tell the story: Describe the household, their needs, and how these funds and your services will assist them. Please be advised that United Way may use these stories in public communications. Identifying information, such as name or place of employment, will be removed if stories are shared. If you have any photos to share, please email them to director@yaquicharity.org
    This field is for validation purposes and should be left unchanged.
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