Lily Longlegs Emergency Fund

To help our community in times of need, we have the Lily Longlegs Emergency Fund. Apply via the form below and someone will get back to you within 48-hours.

*These funds are limited, and during the COVID-19 pandemic we may have to be extra diligent in our decisions to try to distribute these funds to those most in need of emergency assistance.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Date of Birth *

Number of Dependants

Are you employed? *

Household Income Amount *

Monthly Assistance Amount *

How did you hear about the fund? *

Please describe your emergency and the assistance you are hoping for, in detail. *

The mission of Inland Oasis is to conduct and support educational, social and health programming for the lesbian, gay, bisexual, transgender, intersex and allied communities on the Palouse, Southeastern Washington, and North Central Idaho. How does this request help support our mission? *

Email *

Name