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N/A MUST BE A REGISTERED NURSE WITH A DOCUMENTED MEDICAL DIAGNOSIS THAT TEMPORARILY OR PERMANENTLY PROHIBITS THEM FROM WORKING. STEPHANIE DAGUE 2113 WESTERN AVENUE GUILDERLAND NY 12084 5184567858 SDAGUE@NURSESHOUSE.ORG COMPLETED APPLICATION FOR ASSISTANCE FORM, PROOF OF ADDRESS (YOU MUST RESIDE IN NATRONA), CURRENT EMPLOYMENT AS AN RN, DESCRIPTION OF HOW COVID-19 AFFECTED THE PERSON, AND IF APPROVED - WHAT DO YOU INTEND TO USE THE FUNDS FOR? 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