Team Member Foundation Assistance Interest Form

To apply for a grant from the Wingstop Foundation's Team Member Foundation, please complete the interest form below.

Eligibility Requirements

This program is only for Wingstop team members. This program provides direct financial support to team members experiencing an unforeseen hardship, crisis, or natural disaster. Team Members must demonstrate an urgent need resulting in their inability to pay their utility bills, rent/mortgage, medical bills, or maintain basic living essentials, such as but not limited to food, clothing, and hygiene essentials.

Team members must be actively employed for a minimum of three months by WRI or by a United States Brand Partner in good standing. The date of the situation must be within the past 60 days from date of application.  Supporting documentation is required to be submitted as part of the application.

EXAMPLES OF SITUATIONS WHERE SUPPORT WILL BE PROVIDED:

• Unforeseen Housing Hardship that has led to an eviction, uninhabitable or condemned housing, foreclosure, or past due utilities
• Illness and/or Injury
• Disaster Relief
• Death of a Team Member or Household Member
• Unforeseen Income Reduction (Loss of Spouse's job or Team Member's second job due to a layoff, Termination of Government assistance)

WHO IS ELIGIBLE:

• All active Team members, except Vice Presidents and above.
• Team members employed for at least 3 months.
• Team members in good standing with Brand Partner or WRI supervisor.
• Team members experiencing an unforeseen crisis or hardship within the past 60 days.
• Team members that can provide documentation to support and validate the unforeseen crisis or hardships.

HOW TO APPLY:

• Submit a Team Member Assistance Interest Form
• You’ll receive an email from our program manager asking you to schedule your intake call and to provide supporting documentation.
• Your application will be reviewed by the TMA committee
• You will receive an email or phone call from our program manager regarding your application status

The entire process- from interest to final approval typically takes 5-10 business days. This may vary depending on the nature of the case and how quickly you provide the necessary information and documentation. Click here to review required documentation (TMA Required Documentation)

Section 2: Hardship Details

*Please explain the emergency causing financial hardship:

Section 3: Certification and Agreement

I hereby certify that the information provided in and with this interest form is true and accurate. I am aware that any statements made herein which are willfully false are subject to penalty under applicable state and federal laws. Submission of this Application does not entitle me to any claim against Wingstop Foundation or its Team Member Assistance Fund, but constitutes an application for assistance.

I also understand that by signing below, I hereby authorize representatives of Wingstop Foundation to obtain necessary information to assist Wingstop Foundation with the review of this form, including information regarding my salary, benefits, employment status, insurance coverage and other information relevant to this form. I hereby waive any privacy rights granted to me under the Health Insurance Portability and Accountability Act of 1996 relative to the release of otherwise protected information regarding my health that may be relevant to this form.

I am making this Certification and Agreement voluntarily and my consent to information exchange and waiver of privacy rights will expire automatically on the first to occur of the disclosure of the requested information or one hundred eighty (180) days after the date hereof.

I have read this Certification and Agreement and understand that there may be significant consequences for providing false information on this form.

I agree>