Workforce: Add Your Name to the List

Medinacountystrong.com is open to all workforce employees in Medina County, Ohio who have lost employment due to the COVID-19 pandemic. Fill out the form to request your name to be added:

One Entry Per Person

Your Full Name: *

Your Email Address: *

Name of Business Where You Work: *

Please provide only ONE business name. If you are self-employed, use your occupation e.g. “musician”

Business Address:

Please provide the business address and zip code. Medina County businesses only. If you are self-employed, use the address you typically use.

Address:

Zip Code:

Please Provide a Link to Your Payment Options E.G. Paypal, Venmo, Cash App

Your Paypal.Me Link or Username:

You can make an account at: https://www.paypal.me/. Do not provide your email address - make a paypal.me account instead.

Your Venmo Username:

Sign up for an account at https://venmo.com. Not sure where to find your username? https://help.venmo.com/hc/en-us/articles/235432448-Check-or-Edit-Your-Username

For Venmo, Provide Last 4 Digits of Your Phone Number:

Venmo sometimes requires someone to verify the last 4 digits of your phone number in order to pay you, if they are not already connected to you on Venmo. You may optionally provide the last 4 digits of your phone number here to help get paid faster.

Your CashApp Username:

You can make an account at: https://cash.app/. Set up a $Cashtag to share https://cash.app/help/us/en-us/3123-cashtags

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