R&B Foundation Assistance Application

Fill out the form below or download an application to see if you qualify for one of the Rhythm and Blues Foundation’s Financial Assistance Grants. Submission of this application does not automatically entitle the applicant to any assistance.

Download Application

Date

Provide the date you are submitting the application

YYYY

Name

Provide your first and last name

First Name

Last Name

Stage Name

Provide the name(s) you used as a recording artist, performer or musician

Social Security #

Age

Please provide your current age at the date of this application

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Type of Artist

Performer

Musician

Other

Recording History

Reason For Request

Prior R&B Foundation Assistance

Yes

In completion of this Rhythm & Blues Foundation Emergency Financial Assistance Application, I the undersigned, understand and agree to the following: 1. Submission of this application does not automatically entitle me to any assistance . Any assistance provided is granted on a case by case basis and is intended to be emergency aid only. 2. The Rhythm & Blues Foundation reserves the right to approve or deny assistance to applicants. Unsigned, incomplete

Signature Box

Type your full name in the box as your signature for this application