Client Information

Please note: We exist to provide financial help to Atlanta-based professional musicians who have encountered issues affecting their ability to provide basic needs (food, clothing, shelter) for themselves and their families. Our funding is limited and so is our ability to provide help; we have a finite amount of funds, so please understand that someone else may have a greater need than you. If you know of anyone who is in dire need, please tell them about us, with the understanding that we can only help you until the money runs out.

Steve Ellison, AMERF Chairman

Client Qualifying Form

Your name (required)

Best way to contact you (required)

Your phone #

Your email

Your mailing address

Your primary source of income

Music-related activities: Please provide three (3) references who can verify your history as a professional musician.
1)
Name
Phone number
E-mail
2)
Name
Phone number
E-mail
3)
Name
Phone number
E-mail

Please provide a summary of your economic situation in order for us to verify that you qualify as an AMERF client.
What percentage of your income is from music-related activities, such as live performing, teaching, composing and/or arranging, etc.?
If you have a life partner or spouse, what percentage of your household income do they provide? Please provide their contact information.
Please list any web links that provide documentation of your musical activities/career:

How did you hear about us?