Grants

Grants

If you were previously granted assistance, you are not eligible for further assistance until one year has passed, i.e., if your last approved application was dated 6/15/2025, you would not be eligible for assistance again until 6/16/2026.

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Eligible Individual (1) Information

MM-DD-YYYY
Programs CURRENTLY Enrolled In (Check all that apply):

Eligible Individual (2) Information

If applying for more than 1 person in the same household.

MM-DD-YYYY
Programs CURRENTLY Enrolled In (Check all that apply):

Contact Information

123-456-7891
123-456-7891
Check the support that you are requesting assistance with *
Do you own or rent your home?
Invoices / Bills / Estimates / Therapist Recommendations are Available for Review: *

For Emergency Requests, please answer these questions:

How soon does this need to be paid? *
Are you able to pay a portion of this expense? *

Payee Information

How should we submit funds *
How should we submit funds

Grant Agreement: I am submitting this grant request on behalf of a person or people who have identified Intellectual and Developmental Disabilities. I understand that if I am not able to use approved funding for the need identified above, I am responsible for returning unused funds to North Metro Community Services.

I agree to the Grant Agreement *