Grant Application — Jane May Foundation

Grant Program

Our mission is to help families and children with developmental differences access opportunities to help them thrive. If we might be able to help you, please fill out the application below.

Funds are available (up to a maximum of $1000) to help pay for supports including:

speech/feeding, occupational, and physical therapy

sensory items, therapy tools, books, toys, and other materials
camps or other experiences

Tell us more about your family below. We may follow up with you if we have any questions or need any other information.

Grants are available on a rolling basis as long as funds are available. All decisions are at the sole discretion of the Foundation. Your responses are kept confidential and your information is only used for grant-making decisions. We do not share or sell contact information.

Grant Application Form

Parent/Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

How do you prefer to be contacted about your application status? Check any that apply.

Phone Call

Text message (be sure to list your cell phone number above)

Estimated annual household income

Child's Name

First Name

Last Name

Child's Age

Does your child have a formal diagnosis?

What dollar amount are you requesting?

What supplies, services, or educational opportunities will this grant be used for?

How will this support be helpful? Tell us about your child's interests, challenges, and developmental journey.

How did you find us? If you were referred by a therapist, pediatrician, school, or parent please list their name and business if applicable.

Is there anything else you'd like to share with us?