3041 Veterans Rd. West, Suite 2
Staten Island, NY 10309

Criteria Of An Applicant

Applicant must be 18 years of age or younger experiencing a medical or living emergency. Applicant must reside in one of the following locations:

Staten Island, NY • Bergen County, NJ • Essex County, NJ • Hudson County, NJ • Middlesex County, NJ • Monmouth County, NJ • Ocean County, NJ • Union County, NJ

 

Fill Out Our Application Online Or Download And Complete Offline

 

Required Documents

In order to complete the application online you will need to provide/upload the following documents:

  • Drivers License/Photo ID
  • Letter from a physician(s) confirming diagnosis 
  • Copies of Invoices for payment (if applicable)
  • Copy of 1st page of bank statement (if applicable)

Financials

Before you begin please have a rough estimate of your current assets and monthly expenditures as it will be required in the application.

Online Grant Application

To fill out our grant application online please click the button below to be taken to our online form.

Download Application

If you prefer to download our application please click the buton below to download our form.

Years of Service

Grants Given

Children Helped

Frequently Asked Questions:

Who Can Apply For Assistance?
Applicant must be 18 years of age or younger experiencing a medical or living emergency. Applicant must reside in one of the following locations: Staten Island, NY • Bergen County, NJ • Essex County, NJ • Hudson County, NJ • Middlesex County, NJ • Monmouth County, NJ • Ocean County, NJ • Union County, NJ
How Long Does The Process Take?
We review applications one by one to ensure that we are assisting the individuals that need it most.  In certain cases, we will request additional information/documentation.  Typically, once an application receives ‘approval status’ a grant can be awarded within 30-45 days.
How Can I Check The Status On a Grant Application?

We will contact you once we have received and reviewed your request.  You can also call our office at (718) 967-9085