Application For Funds

Please fill out the following application for funds after you have received a notification to proceed with your application after the initial review.

Application for Funds

Your Name

First Name

Last Name

Your Email

Name of Detainee

Pod

Gender

Marital Status

Country of Origin

Date detained

YYYY

Languages spoken

Languages for literacy

Extenuating circumstances

Are there any extenuating circumstances we should know about? (physical challenges, mental health concerns, pregnancy, dependents, LGBTQ, membership in any other marginalized group)

Number of months in detention

Names and contact numbers of support people or agencies

Names and contact numbers of support people or agencies affiliated with the detainee (family members, friends or sponsors).

If known, next court date

YYYY

If known, type of hearing

Are there any other sources of funding the detainee has access to

If yes, amount and from whom?

Do you have any plans to do any personal fundraising to support the detainee other than through this process?

For those who were in the US prior to detention, how long have they been in the US?

Application For Funds

Colorado Immigrant Justice Fund

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