Apply for Assistance | The Grandparents Community Network

Apply for Help

Our funding is exhausted at this time. Please submit your application for immediate assitance when funding becomes available. Thank!

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Email

Which of the following best describes your role?

Sources of Income (including roommates)

How many children are you caring for?

Details of children

Do any of the children you are caring for have special needs?

Is there anyone in the home over the age of 18?

Do you receive Supplemental Nutrition Assistance Program (SNAP) benefits?

Please explain your circumstance and need:

Please state your top two essential needs (not covered by state or federal assistance):

Please explain your circumstance and need

Our funding is currently exhausted for the current funding cycle. You may choose upload your supporting documents to expedite process when funding is available Please provide supporting documentation to show your need.

Examples: Lease Agreement/ Address Proof, Utility Bill, "Shut off notice" etc.

Apply for Help

Made with

for grandparents everywhere