Wrongful Termination Fundraising Request
Request support after losing your job due to wrongful termination. Please provide details about your situation and fundraising needs.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current City and State
*
Previous Employer Name
*
Job Title at Previous Employer
*
Date of Termination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Summary of Wrongful Termination (Please describe your situation and why you believe your termination was wrongful)
*
Fundraising Goal (Amount you are requesting)
*
How do you intend to use the funds raised? (e.g., legal fees, living expenses, job search)
*
Upload Supporting Documents (e.g., termination letter, correspondence, evidence)
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