Come and Get This Medicine.

Complete the application below.

Naijean

Business Owner and DAWA recipient

Here for YOU.

First & Last Name

Age

Gender

Race

Black or African American

Hispanic/Latinx

American Indian or Alaska Native

Asian/Pacific Islander

Middle Eastern

Multi Racial

Profession

Artist

Musician

Healthcare

Education

Social Work

Therapy/Healing Arts

Food Services/Service Industry

Unemployed

Other

Monthly Income (Please enter estimated monthly dollar amount earned (wages, salaries, Social Security, retirement, and/or unemployment)

Description of Need

Funding Needed

Number of People in Household (How many people are supported by the above income?)

Support Request ID

Support Request Zipcode

Amount Requested (How much do you need to stabalize things right now? **At this moment, we're limited to awarding $200, however still enter the full amount needed in case we are able to help at a later time.

Top Area of Need

Housing Costs/Renta, Hipoteca

Utilities (Electricity, Water, Gas)/Luz, Agua, Gas

Food Costs/Costos de Comida

Transportation (Car/Insurance/Gas/Bus)/Transporte

Childcare Costs/Cui

Rate Financial Situation

Bad/Mala

Very Bad/Muy Mala

Crisis

Please upload your ID (Driver's license, State ID, School ID)

Upload ID

Proof of identificaiton

Please upload proof of profession

Upload File

Job ID, Event Flyer, Website

Please upload something that verifies your profession. Examples: screenshot of website featuring your work, Job ID, event flyer, etc.

Questions?

email dawa@dawaheals.org

Thanks for applying!
We’ll get back to you soon.

"One can say, 'Teach me what you know,' but the better request is,'Teach me about what teaches you.'
- Malidoma Patrice Somé