{"id":1909,"date":"2022-01-27T14:06:29","date_gmt":"2022-01-27T20:06:29","guid":{"rendered":"https:\/\/midtownfellowship.org\/?page_id=1909"},"modified":"2022-02-18T16:30:55","modified_gmt":"2022-02-18T22:30:55","slug":"apply-for-covid-19-assistance","status":"publish","type":"page","link":"https:\/\/midtownfellowship.org\/apply-for-covid-19-assistance\/","title":{"rendered":"Apply for COVID-19 Assistance"},"content":{"rendered":"<script type=\"text\/javascript\">var 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class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_5\"><label class='gfield_label gform-field-label' for='input_13_5' >How many people are in your household?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_13_5' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='- select one -' >- select one -<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11+' 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Midtown<\/option><\/select><\/div><\/div><fieldset id=\"field_13_10\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_10\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >What expenses do you need assistance to pay? (check all that apply)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_13_10'><div class='gchoice gchoice_13_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='Food'  id='choice_13_10_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_10_1' id='label_13_10_1' class='gform-field-label gform-field-label--type-inline'>Food<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_10_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.2' type='checkbox'  value='Utilities'  id='choice_13_10_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_10_2' id='label_13_10_2' class='gform-field-label gform-field-label--type-inline'>Utilities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_10_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.3' type='checkbox'  value='Rent\/Mortgage'  id='choice_13_10_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_10_3' id='label_13_10_3' class='gform-field-label gform-field-label--type-inline'>Rent\/Mortgage<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_10_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.4' type='checkbox'  value='Health Insurance'  id='choice_13_10_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_10_4' id='label_13_10_4' class='gform-field-label gform-field-label--type-inline'>Health Insurance<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_13_8\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_8\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >What type(s) of income are you currently receiving? 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class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Unemployment'  id='choice_13_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_8_3' id='label_13_8_3' class='gform-field-label gform-field-label--type-inline'>Unemployment<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Child Support'  id='choice_13_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_8_4' id='label_13_8_4' class='gform-field-label gform-field-label--type-inline'>Child Support<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='No Income'  id='choice_13_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_13_8_5' id='label_13_8_5' class='gform-field-label gform-field-label--type-inline'>No Income<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_13_8_6'>\n\t\t\t\t\t\t\t\t<input 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