APPLICATION FORM - Intimate Access

Phone(Required)

Work name or pseudonym(Required)

City / Region(Required)

We accept applications from people living and working on Vancouver Island & the Southern Gulf Islands, British Columbia, Canada.

Please list all relevant work names/links/websites/ads/social media/online presence(Required)

Proof of work

If you don't have a work website, online ads, or SW social media accounts, please include any screenshots of messages with clients, or any other relevant screenshots that will help us verify your work status. Please remove any personally identifiable information.

Drop files here or

Accepted file types: jpg, png, gif, pdf, jpeg, Max. file size: 2 MB, Max. files: 8.

Community Reference (Optional)

Contact details for a vouch from from a mutual member of our community who we know and trust

Other barriers

Tell us a bit about your situation and how these funds would help(Required)

Anything else you'd like us to know/questions you have(Required)

How did you hear about us?(Required)

REQUEST SUPPORT

-- APPLICATION FORM --