Survivor Support Fund Follow Up QuestionnaireTo be completed by the contact person from the referring church/agency:Name of applicant who received the fund: *Name of church/agency applying *Name of contact person from the church/agency *Contact person’s phone number: *Contact Person's Email Address *Please answer the following questions to the best of your ability.In two sentences or more, please describe if the funds received have supported the personal goals of the applicant and if so, how? *0 / 500In two sentences or more, please describe if the funds received have contributed to an increased sense of hope for the applicant’s future? *0 / 500Do you have any suggestions for how we can continue to improve the process of administering the Survivor Support Fund? *0 / 500Confirm Electronic Signature *Date *Upload Letter from Church/Agency *This letter verifies that the funds provided by Defend Dignity were spent as allocated.Choose FileNo file chosenDelete uploaded fileSubmit
