Wildfire Relief Fund Grant Application

The Archdiocesan Wildfire Relief Fund provides funds through its parishes to provide direct support for those adversely affected by wildfires in Oregon.
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- Parish REQUIRED Please fill out this field. Please enter valid data.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Total number of parishioner families who lost homes* due to wildfires REQUIRED Please fill out this field. Please enter valid data.
- Total number of non-parishioner families who lost homes* due to wildfires REQUIRED Please fill out this field. Please enter valid data.
- * homes include houses, rental unit, trailers, and other place of residence
- Total number of displaced parishioner families REQUIRED Please fill out this field. Please enter valid data.
- Total number of displaced non-parishioner families REQUIRED Please fill out this field. Please enter valid data.
- Other sources of support (i.e. gifts from other parishes, Knights of Columbus, etc.)
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