Southern Smoke Foundation Large-Scale Response Application

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Eligibility Guidelines:
Please note that if you missed less than 6 days of work, your application is not eligible for assistance. We still want to be a resource for you. If you are facing an additional crisis unrelated to a large-scale crisis, please let us know by emailing casemanagement@southernsmoke.org. Our team may be able to determine whether you meet eligibility requirements to work with a case manager and build an Emergency Relief Fund case for support.

This grant is available for F+B workers whose community or workplace has been impacted by a large-scale crisis or closure.
In order to be considered for assistance, your place of employment must have been closed six or more days.
Must have been employed 30+ hours per week on average for 6 months leading up to the crisis or disaster. You are able to combine F&B roles to meet the 30-hour criteria.

Aiming to serve the most impacted F+B workers, meaning:

Our application asks for detailed information—such as income, housing, employment, and insurance status, location, and household makeup—so we can thoughtfully assess each situation and prioritize support for those facing the greatest need during large-scale responses.

Processing Timeline:

Southern Smoke Foundation is accepting applications in batches of 125 or fewer. The application will be closed when we have reached the maximum application number, and will reopen if funding is available.
Depending on the crisis, the expected processing time for each batch of applications is 3-6 weeks.

What to expect:

BEFORE YOU GET STARTED:

Applications submitted with all required documentation and authorization to contact employers directly will be processed more quickly.
We will require employment verification for all applicants. By checking the boxes in the application below, you grant us permission to contact your employer, previous employers, and other aid relief nonprofits, so that we may be able to expedite this portion of the process.
We will require pay stubs outlined in the Documentation section of the application.
If your home has been impacted due to a natural disaster, we will require proof of your home damages in the form of third-party documentation (fire department, property management company, Department of Public Health, etc.)
You will have a dedicated case manager who will work on your case.
You will receive communications via email only.

General Information

First Name

Last Name

Email Address

Phone Number

Birthday (MM/DD/YYYY):

Race:

Race (Other)

Gender Identity:

Gender Identity (Other)

Current Address

Street Address

City

State

Zip code:

What type of large-scale crisis has impacted you?

What type of Natural Disaster has affected you?

If Other, please explain:

Which current natural disaster has impacted you?

If Other, please explain:

What type of Workplace-Related Event impacted you?

If Other, please explain:

Which Community Wide-Event has impacted you?:

Examples of Community Wide-Events might be a city-wide water crisis, a terrorist attack, or other large-scale, non-Disaster related events.

Have you received any financial assistance or supplemental income related to your crisis?

Are you receiving or have you received financial assistance related to your crisis? If so, please select which organization:

If "more than one" or "other," please share which organizations assisted you:

If you are receiving or have received financial assistance related to the crisis, how much have you received?

Employment Information

Name of current (or most recent) place of employment:

Employer Email Address:

We cannot accept personal email addresses. Please share the work-related email for your GM or HR contact.

F&B Establishment Location Phone Number:

This cannot be a cell phone number or personal number; please send the number to the specific location at which you work.

Type of F+B Establishment

If "Other," please specify:

Have you worked at more than one F+B establishment in the last 12 months?

If yes, please share more information about your other roles, including employer and employment tenure:

Address of current place of employment

Street Address:

Suite # or Store Number

City

State

Two letter abbreviation only, please!

Zip Code

Position:

If "Other," please specify:

Are you still in the food and beverage (F+B) industry?

If you are still in the F+B industry, were you a salaried employee through this disaster?

What is your average annual net income?

How long has your employer been closed due to this crisis?

Have you been able to return to work?

Have long have you worked in the Food and Beverage industry?

Number of years only, please!

Household

Household makeup:

Is anyone else in the immediate household also employed in food and beverage?

Was their employment also impacted by the disaster?

If your partner or cohabitant has also completed an application with us, please list their name:

Are there other adults working in the household?

Do any of the following people live in your home?

How many children/dependents live in your household?

Housing

If the crisis you are experiencing has impacted your housing, please answer the following questions:

What is your current living situation?

Do you live in:

If "Other," please specify:

What sort of insurance coverage did you have at the time of the disaster?

Statement of Need

If there is any additional information you'd like to share, please include it below:

Documentation

Please submit a paystub from six months ago:

Please submit your most recent paystub in 2026:

If the month of December is included in the six-month timeline, please upload your first December paystub:

Please submit your insurance claim for home damage, if applicable:

Please submit proof your home was uninhabitable from a third-party source (property management, fire report, etc):

Please provide documentation from your employer of the closure of your workplace:

Disclosure

By checking this box, you authorize Southern Smoke Foundation to contact your employer to verify employment.

I allow Southern Smoke Foundation to contact my employer for employment verification.

By checking this box, you authorize Southern Smoke Foundation to contact other nonprofit organizations you have applied to in order to expedite case processing time.

I allow Southern Smoke Foundation to contact other nonprofits regarding my application

I certify that all of the information I provided in this form (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of funding and immediate disqualification regardless of the timing or circumstances of discovery.

I agree to the terms listed above.

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