Hardship Fund Application

The Hardship Fund was created by the Colorado State Patrol Family Foundation to assist members of the Association of Colorado State Patrol Professionals who find themselves in a financial situation beyond their control and are in need of assistance.

If you find yourself in need of this assistance, please complete the following information.

First Name: *

Last Name: *

Address: *

City: *

Zip Code: *

Telephone Number: *

Are you an ACSPP member in good standing?: *

Yes

No

Description of Hardship: *

What actions have you taken on your own to mitigate this hardship?: *

How Much Aid Are You Requesting?: *

Is there anything else we should know to help the Committee reach a decision?: *

Is there anyone else you would allow us to talk to so that we could verify this information?: *