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The ECHO Team

The Research Foundation Employee Assistance Fund Application

The following information is needed to be considered for funding from the The Research Foundation's Employee Assistance Fund.

By filling out this application, it is understood that the decision to grant financial assistance rests with the Employee Assistance Fund Committee and I will abide by the committee’s decision. All information submitted will be treated confidentially. 

Please note that you must submit all information at the same time. You will not be able to start your application and come back to it at a later time. Please call 816-276-3163 or email info@theresearchfoundationkc.org with questions. If you prefer to complete an application in person, please contact the Pastoral Care Department at 816-276-4120.

Applicant Information
First Name
Middle Initial/Name
Last Name
Country
Address Line 1
City
State
Postal Code
/
/
Supporting Information
First Name
Last Name
First Name
Last Name
First Name
Last Name
First Name
Last Name
First Name
Last Name
First Name
Last Name
First Name
Last Name
Source of Monthly Income

Please put $0 if category does not apply to you

$
$
$
$
$
$
Monthly Financial Obligations

Please put $0 if category does not apply to you

$
$
$
$
$
$
$
Need for Support
$
Supporting Documents
PDFs are preferred. If PDFs cannot be produced, photos of each document will be accepted.
No file selected
PDFs are preferred. If PDFs cannot be produced, photos of each document will be accepted.
No file selected
Check the box below to complete application