Application for Parker’s Purpose Foundation Assistance

APPLICATIONS CAN ONLY BE CONSIDERED FROM THE STATE OF OHIO

All individuals requesting an IPad or communication device please do not use this link.
Two separate grant cycles for those will be from 4/1-4/30 and 10/1-10/30 with the link being on our home page.

Who can receive assistance? Any family, who has a minor child (18 and under) with a life altering illness or disability that is having financial crisis due to unforeseen medical expenses
What type of Assistance Do We Provide? Financial assistance can be given for specific bills, equipment, needs stated within the application as the recipient deems necessary to their situation.
How Much Assistance Do We Provide? Our maximum grant can not exceed $1000 per family.
How Often Can Assistance be received? A family can only receive assistance from Parker’s Purpose Foundation 1 time every 3 years. The three-year time frame would be from the time the grant was awarded and not the date of the application.
How Are Applications reviewed: The Parker’s Purpose executive committee makes decisions based on the financial and emotional needs of the applications; along with verification of referrals.
The Foundation awards grants contingent on the availability of funds

Please complete the application below with all fields required and a minimum of 250 words needed to explain your situation and need. No mailed in applications will be considered; all must be completed online and submitted.

Grant Application Periods

January to March – applications accepted
April (Closed for Decision – Funded by May 1st)

May to July – applications accepted
August (Closed for Decision – Funded by September 1st)

September to November – applications accepted
December (Closed for Decision – Funded by December 31st)

Today's Date *

Email Address *

Applicant Name *

Assistance For *

Age of Applicant *

Name *

Address *

City *

State *

Zip Code *

Country *

Daytime Phone *

Evening Phone *

Employment Situation *

Applicants Primary Diagnosis, Illness or DIsability *

Please List any Secondary Diagnosis, Illness or Disability *

Please detail your situation and why you are requesting assistance from parkers purpose. *

How did you hear about Parker's Purpose? *

First Personal Reference Name *

First Personal Reference Phone Number *

Second Personal Reference Name *

Second Personal Reference Phone Number *

Third Personal Reference Name *

Third Personal Reference Phone Number *

Have you received any financial assistance from any other foundations within the past year? *

Have you ever received assistance from parkers purpose? *

If so, How much and when? *

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