Apply for Aid

Complete the form below to apply as an organization or individual seeking aid.

Step 1 of 6

16%

Name
First Last
Phone
Email
Organization Name
Website
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

List Items Requested for Aid*
Item Cost

Use the "+" icon on the right to add another item.
Please tell us why aid is being requested, give context to the situation and explain how the funding will be used.*
If you have any supporting documents to provide, such as a project overview, video or other any other documentation, please upload it on the next page.

Upload any supporting Documents

I understand that completing this form is NOT a guarantee of funding, as funding is based on availability and need.

Please Select Any That Apply*
- This request is urgent.
- This request is for an organization which has been sucessfuly granted funding before from refugees.cx
- The recipients of aid and/or relief do not have housing
Only select those that apply, read this section carefully.