Application

The mission of the Giving Angels Foundation is to enhance the daily functioning of a child with special needs and his/her family by awarding assistance through the purchase of a specific item or items.

We classify special needs as those children under the age of 21 with any type of physical disability (such as, but not limited to, spina bifida, paralysis, missing limbs) or illness (such as, but not limited to, cerebral palsy, multiple sclerosis, cancer).

Funds are awarded on a case by case basis with preference given to lower income and single parent families. Families who wish to receive assistance must complete an application and submit required supporting documents. Please note that if your income is more than $50,000 per year, we might require additional information to justify financial need. In order to help as many families as possible, we have a $1,000 maximum one-time grant allowance per recipient family. Applications are accepted at any time.

The foundation reserves the right to decline any application and/or ask for any additional information regarding the application. Applications on hold will be re-evaluated after 12 months.

Download the application or complete the form below.

Application
Parent's Name

Invalid Input
Marital Status

Invalid Input
Child's Name

Invalid Input
Child's DOB

Invalid Input
Address

Invalid Input
Phone

Invalid Input
Email Address

Invalid Input
Special Needs/Diagnosis of Child

Invalid Input

Proof of child's disability in the form of a letter from the child's physician or school on official letterhead is required with application in addition to proof of insurance denial for any item requested, where applicable.Further documentation may be required at the discretion of the board.

Please scan and e-mail supporting documentation to This email address is being protected from spambots. You need JavaScript enabled to view it. or fax to 215-542-9996. Applications must be complete before they can be considered.

Item(s) Requested:

Invalid Input

Why will this item by necessary or improve the daily functioning of your child? Please be as specific as possible:

Approximate Cost of Item

Invalid Input
Annual Household Income:

Invalid Input

Proof of income in the form of a copy of your most recent tax return is required with application. Further documentation may be required at the discretion of the Giving Angels Foundation. Please send supporting documentation either via email to This email address is being protected from spambots. You need JavaScript enabled to view it. or fax to 215-542-9996. Applications must be complete before they can be considered.

Additional Information:

Invalid Input
How did you hear of the Giving Angels Foundation?

Invalid Input
Please type what you see.
Please type what you see.

Invalid Input
By submitting this form you hereby consent to the use of any pictures of applicant or any references to her/him in any media advertising promoting the Giving Angels Foundation.


The Giving Angels Foundation is a 501(c)(3) with a 100% Volunteer Board. Last year, 95% of the monies received went directly to scholarships for Special Needs Children and their families.