Applications & Donations

Gentle Giant Grant Application

Section A: Applicant Information

First name

Last name

Phone

Street Address

City

State

Zip Code

Section B: Household & Situation

Number of People in Household

Brief Explanation of Immediate Need (Non-Medical)

Section C: Hygiene Expenses

Hygiene Items & Prices

Store Name

Store ZIP Code

Section D: Grocery Expenses

Primary Grocery Store Name

Grocery Store ZIP Code

Grocery Items & Estimated Prices

Section E: Medication Expenses

Pharmacy Name

Pharmacy ZIP Code

Medication Details (Include medication name, dosage, and price)

Section F: Upload Documents

Upload Proof of Bills / Receipts

File upload

Upload Pharmacy Printout

File upload

Upload Grocery Receipt / Estimate

File upload

Section G: Acknowledgments

I certify the information provided is accurate

I understand this is a one-time grant

I understand funds are not issued as cash

Section H: Review & Submit

“Please review your information before submitting.”

Application Fee

$50

Gentle Giant Donations

Program Notice: The Gentle Giants Grant is non-medical, discretionary, and subject to eligibility review. Funds are applied only to approved expenses.

Applications & Donations

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