Wellness Grant applications will open October 12th and will close on November 19, 2024 at 11:59pm” The application is now CLOSED.
For questions or concerns please email info@samsspoons.org
Qualified recipients must be able to provide receipts of provider services, treatments, supplements or other wellness intervention. If selected, applicant will be awarded up to $2k to reimburse out of pocket expenses.
Your email *
Name (First & Last) *
If applicant is under 18, name of parent/guardian
Street Address 1 *
Street Address 2 (if applicable)
City, State
Postal Code
County *
Phone number
Applicant's date of birth *
Amount Requested (Up to $2,000) *
Reason for Request: Include as much information as possible to help us consider all aspects of your situation and need. *
Do you (applicant) or your family have a relationship with anyone on the Sam's Spoons Foundation Board? *—Please choose an option—YesNoNot sure
If yes, please explain the relationship
Permission to use Name/Photo on SSF website, social media and, if possible, to accept the check in person on a designated day. If YES, please email photo to info@samssppoons.org by the application deadline.
YES, I give permission to use my name and photo (or loved ones name if completing application on their behalf) NO, I do NOT give permission to use my name or photo
