First Name
*
Last Name
*
Email Address
*
Current Address (if changed since January 2024)
Address where you currently reside
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
What is your current monthly gross income?
*
Live music (gig) shows
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Recording work
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Royalties
*
Music lessons
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Merchandise
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Instrument repairs or manufacturing
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Veterans benefits
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Pensions
*
Unemployment
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Annuities
*
Investments
*
Inheritance
*
Income from non-music related work (childcare, yoga, office work, etc)
*
Other income or financial assistance (please describe)
Number of your dependents if any (spouse, child, etc.)?
*
What is the current household size and make up of the home you live in? (This is the total number of people living in the household you reside in including yourself.)
What is your current housing situation (own, rent, etc)?
*
What utilities are you responsible to pay monthly?
What portion of the current monthly mortgage or rent payment are you responsible for?
Requested 2025 Grant Amount
*
What is the amount you are requesting, and how will you use it? Remember that HOME provides housing support and nothing else. This includes rent, deposits, and utilities mainly.
Date of Application Submission
*
MM
DD
YYYY
Thank you for submitting an application for ongoing assistance from H.O.M.E. We will be in touch shortly with more information about your application status. 2025 awards wil be announced November 1, 2024.
