Grant Application

The Kids for Kids Foundation is a community of friends, families, and colleagues raising money for organizations that support children and families struggling with medical challenges. Our family-focused events celebrate all that we have to be grateful for and serve to inspire the next generation of humanitarians – our children.

In addition to supporting organizations, Kids for Kids has grown to now provide Individual Grants to support local children and families faced with medical challenges. Grant applications are reviewed on a quarterly basis by the Kids for Kids Board of Directors. If approved, applicants will receive a letter of acknowledgment and additional correspondence from a staff member of the Kids for Kids Foundation.

If interested in applying for an Individual Grant, please download our Family Financial Summary and complete the following application:

Name of Applicant/Patient: *(Required)

First Last

Name of Individual Completing Form:(Required)

Relation to Applicant/Patient:(Required)

Email Address(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you hear about this Grant?:

Medical Information

Please describe the current situation causing need for support:(Required)

Name of Hospital/Facility where Applicant/Patient is being treated:(Required)

For verification of applicant’s medical condition and need for assistance, please provide contact information of the Social/Case Worker or Primary Contact at the treating Hospital/Facility.

Contact Name(Required)

First Last

Phone Number(Required)

Relationship to Applicant/Patient:(Required)

*By providing contact information above, permission has been granted to Kids for Kids to make contact inquiring about grant applicant and current medical condition.

Financial Information

Annual Household Income:(Required)

How many incomes contribute to the Annual Household Income?:(Required)

Have any incomes been affected by this medical situation (i.e. left job to provide care, approaching end of paid time off or FMLA). If so, please explain:(Required)

Financial Summary Document(Required)

Max. file size: 300 MB.

*For verification of financial need for assistance, please provide most recent Tax Return or Bank Statement. Applications will be considered incomplete and held for further review if financial evidence is not included upon submission.

Funding Information

If awarded this Individual Grant, please describe how funds will be used:(Required)

E-Signature

Typing your name on this signature line serves as a legally binding e-signature.

By signing above, I certify that the statements and information contained in this application are true, complete and accurate to the best of my knowledge and understand that if it is determined the foregoing certification is false my application may be rejected.