Survivor Support Fund Follow Up QuestionnaireName 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.Were the funds used by the applicant for their intended purpose? *YesNoPartlyIn what ways did the fund contribute to supporting the personal goals of the applicant you referred? *Was there anything about the fund (amount given, way it was dispersed, timelines) that made it difficult for the applicant to use the funds appropriately? *Do you have any suggestions for how we can continue to improve the process of administering the Survivor Support Fund?Agreed By *Date *Letter from Church/Agency *Choose FileNo file chosenDelete uploaded file Submit Application