Family Grant Application

Your Personal Information

Your Name(Required)

First Last

Your Email Address(Required)

Enter Email Confirm Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone(Required)

Family Details

What is your marital status?(Required)

Single

Married

Seperated/Divorced

What is the relationship to the child you are submitting this grant about?(Required)

Please list the ages of your children(Required)

Total number of children that attend early childhood education(Required)

Situation

When did the situation arise?(Required)

Please tell us in detail what happened, why did it happen, and what caused your situation.(Required)

Please tell us in detail how this adversity is affecting your child's ability to continue their education.(Required)

Amount of Grant Requested.(Required)

Purpose of the Grant (select all that apply):(Required)

Education Expenses

Medical Expenses

Housing Stability

Transportation

Childcare

Other

Estimated amount of assistance needed

Please provide a detailed explanation of how this grant will be used.(Required)

Long Term Stability

What steps have you already taken to address these circumstances?(Required)

17. How will this grant help you achieve long-term stability?(Required)

18. What is your plan to ensure financial sustainability after receiving this grant?(Required)

Financial Information

Annual household net income.(Required)

Number of Dependents.(Required)

Current employment status.(Required)

Employed

Unemployed, looking

Retired

Are you on government subsidy?(Required)

Yes

List out what the government subsidy programs you already use.(Required)

Have you applied for or received assistance from other organizations?(Required)

Yes

Please list all assistance programs you have applied for and the status of your application.

Partner School Involvement

Has your chld's school been involved or informed about your situation?(Required)

Yes

Name and contact information of a school representative who can verify your circumstances:(Required)

Impact Statement

How do you believe this grant will impact your child's educational journey and overall well-being?

Attach documentation of the adversity.

Include supporting documents such as outstanding bills, eviction notice, car accident pictures, police report, etc.

Drop files here or

Max. file size: 50 MB.

Attach your last 3 monthly pay stubs( (include spouse if married).(Required)

We will accept 3 months of current bank statements with consistent EFT entries (Electronic Fund Transfers) as proof of income which indicate that the source of payment is from employer’s business, unemployment insurance, social security etc.

Drop files here or

Max. file size: 50 MB.

Terms and Conditions(Required)

I grant permission to The Pryor Family Foundation to contact my child's education provider to verify information related to this application and to coordinate any potential assistance.

I understand and agree that The Pryor Family Foundation may use the information provided in this application, including our story, for promotional, fundraising, or educational purposes. I understand that all such use will be anonymous, and no personally identifiable information will be disclosed without additional explicit consent.

I understand that all information provided in this application will be kept confidential and will only be reviewed by authorized personnel of the Pryor Family Foundation for the purpose of determining eligibility for assistance.

I understand that if granted, these funds must be used for the purpose stated in this application.

I agree to provide a follow-up report within 6 months of receiving the grant, detailing how the funds were used and their impact.

I certify that all information provided in this application is true and accurate to the best of my knowledge.

I agree to the terms and conditions.

Pryor Family Grant Application