Grant Application Page

As a Global Down Syndrome Foundation Organization member we have an opportunity to apply for up to two $1000 family COVID-19 Emergency Family Relief Global Grants.
Applying does not in any way guarantee that we will be awarded any grant funds. Depending on where we receive applications from, we will try to submit one grant from the Kearney area and one grant from the Lincoln area. If multiple families apply for grant funding in each area we will draw to choose the ones that are submitted. To be considered, this form must be completed by May 15, 2020

COVID-19 EMERGENCY FAMILY RELIEF GRANT APPLICATION

* Indicates required field

Name of Parent / Caregiver *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Name of individual with Down syndrome and DOB *

Amount of request (up to $1,000): *

Provide a brief description of what need the COVID-19 Emergency Family Relief Global Grant will fulfill (please email copy of bill or specific information about the need and contact information for vendor as appropriate to info@dsaane.org): *

How will this benefit the individual with Down syndrome highlighted above: *

All information will be treated confidentially and will only be used to apply for a grant on behalf of your family with Global Down Syndrome Foundation. If a grant is awarded, no personal information will be shared about the family who receives the grant within the Nebraska Down syndrome community. The only information that will be shared is that a family from Nebraska was helped.

Submit

COVID-19 EMERGENCY FAMILY RELIEF GRANT APPLICATION

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