Fire Relief Fund Employee Application

This relief fund, made possible by the SRJC Foundation, is for employees who lost their homes in the recent wildfires in Sonoma County and surrounding areas. Current employees are invited to apply by filling out and submitting this form.

Click here for a paper application, or for help contact the Human Resources Department at (707) 524‐1624 or (707) 527‐4831.

Award Amount: Awards are available at up to $500 each until funds are depleted.

Selection and Notification: Once applications are submitted, they will be screened and processed on a case-by-case basis. Once approved for relief funds, you will be notified by email about the award.  

APPLICANT CERTIFICATION 

By checking the boxes below and pressing "Submit" I certify the following and sign with today's date and time:

OPTIONAL