Grant Application

Please select which type of grant you wish to submit and give clear, detailed answers to the questions provided. If you are awarded a grant you will be contacted by our team within 60 days of submitting an application. Thank you.

Is this application for you or are you applying on behalf of another person? (Beneficiary) Select Myself Another Person

Beneficiary Information

Have they ever been charged with a crime of violence? Select Yes, they have been charged with a violent crime. No, they have not been charged with a violent crime.

Have they ever been sentenced to more than 1 year in prison? Select Yes, they have been sentenced to more than 1 year in prison. No, they have not been sentenced to more than 1 year in prison.

Are they awaiting sentencing and/or trial? Select Yes, they are awaiting sentencing and/or trial. No, they are not awaiting sentencing and/or trial.

Does this matter relate to a J6 case? Select Yes, this matter relates to a J6 case. No, this matter does not relate to a J6 case.

Payee (person or entity who is to receive the payment) Select Myself Beneficiary (From Above) Another Person or Entity

SUBMIT

Preferred Method of Communication: Email Phone

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Preferred Method of Communication: Email Phone

Number of Family Members Living in the House:

Please summarize the nominee's personal hardship including any relevant financial circumstances:

Submit Nominee