Rylan's Hope - Family Grant Application

We understand that parents do all they can to provide their children everything that the world has to offer them. We also understand that when families have children with disabilities it can take double the effort and double the financial resources to give their child those things. That is why we are here!

Has your family ever been told that your child cannot receive funds for a new chair because they should not have grown that tall until they were such and such age? So now you have to spend hours making calls and advocating for your child just to receive a support that fits their new height!

Or are you the parent that has been waiting... and waiting... and waiting... (one more for good measure)... and waiting for those precious county respite funds because you need a specially trained someone to watch your child so you can make those phone calls to advocate for that new chair that you've been denied?

Although we do not provide that specially-trained someone for your family, we can provide you with short-term funds so you can pay that someone to make that call or do that laundry or get those groceries or have coffee, alone, because that nev-er hap-pens!

And those are just the beginning.

It is our mission, at Rylan's Hope Foundation, to provide grants to families that have children with disabilities that are struggling to overcome financial hurdles. Be it, getting funds together for that specialized chair you've been denied (twice!), paying an agency for respite care, paying for that therapy that insurance doesn't cover, we are here to help!

Question about our Family Grants? Email: info@rylanshope.org

The application is pretty straight-forward... In fact, all you do is fill out the form below and one of our board members will be in contact with you.

We are excited that you found us!

Grants are limited to $1,000 so that we are able to help as many families as possible. Grants are limited to Wisconsin residents only.

Grant Application

Personal Information

Parent/Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Potential Recipient Information

Name of Child

First Name

Last Name

Birthday

YYYY

Diagnosis

Child's Ethnicity

Used for statistical purposes only.

Family Information

Family's Income

Used for statistical purposes and will not disqualify applicants.

Number of parents or guardians in family

Number of children [dependents] in family

Grant Request

Date of Application

YYYY

Funds Needed By

YYYY

Amount Requested

Grants are limited to $1,000 so that we are able to help as many families as possible.

NEED

In your own words, please explain the need for which the grant is sought

How did you hear about us?

ADDITIONAL COMMENTS

Please provide any additional information you believe would assist the grant committee in its decision.

If chosen, can RHF share that your family received grant funds?

This might include a page on our website with your families story or a post on social media.

Yes

Yes, but we want to discuss specifics in more detail.

Are you willing to be interviewed as part of the application process?

As part of the grant process RHF may ask families to conduct a phone or in person interview with our governing board in effort to finalize grant recipients.

Yes

Distribution of grant funds.

RHF chooses to distribute all grant funds directly to agencies, providers or vendors. When not possible, RHF can also be invoiced for the agreed upon funds.

I understand that if our family is chosen, funds will distributed directly to an agency, provider or vendor. Funds will not be given to an individual.

All applications will be reviewed at the next board meeting and you will be notified of the results by the end of the month following the month of the application. For example if the application is received in January you will be notified by the end of February.