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Emergency Financial Assistance: Flex Fund Grant

  1. This generous grant was provided to Skokie Human Services from the Skokie Community Foundation, to provide urgent support to those most impacted by Stay in Place orders due to COVID-19.

  2. Contact Information

    Village of Skokie, Human Services Division, 5127 Oakton Street, Skokie, IL 60077, Phone: 847-933-8252

  3. A Human Services staff member will call you to schedule a phone consultation. Be aware that it may take 1 to 2 weeks to secure a phone interview. Please attach photos/uploads of the following to your application. For your privacy, please mark over social security or bank account numbers.

  4. A Human Services staff member will arrange an interview to discuss your most pressing needs. We cannot guarantee financial assistance, but will work to assist where you most need help. There may be other resources that we can provide to help address your situation. We will help you in any way we can through counseling and referrals.

  5. Please Answer the Following

  6. Did you lose employment or experience a reduction in hours of employment?

  7. If so, have you applied for unemployment benefits?

  8. Have you applied for Supplemental Nutrition Assistance Program (SNAP) benefits?

  9. Will you have a job to return to?

  10. Household

    Please list all the people (including yourself) in your household.

  11. Housing

  12. Do you receive a Housing Choice Voucher (Section 8)?

  13. Income/Employment

    Please identify the employer for each member of your household and current earnings. Please include Social Security Income if applicable.

  14. Type of Work?

  15. Type of Work?

  16. Consent and Authorization

    I understand and acknowledge that by signing this application for emergency financial assistance, I do hereby authorize the Village of Skokie to communicate the contacts listed in the Housing and Employment sections of this application for the purpose of coordination of services. I attest that the information provided herein is true and accurate. I understand that the information provided may be for statistical analysis of financial and demographic payment for services provided.

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  18. This field is not part of the form submission.