Grant Application

The primary mission of the McKeryn Bridge Foundation is to provide temporary support in the form of funds, goods or services to those who are needy or distressed as the result of a temporary hardship. A Grant from the McKeryn Bridge Foundation should be considered a helping hand, not a hand out.

A grant is a one-time only distribution, a bridge to security. A bridge is not a temporary solution – it needs to be shown that the recipient will be made more secure as a result of the grant.

A grant Advocate is needed to fill out the online application. Direct appeals will not be considered.

If you need help finding an advocate, please email advisoryboard@mckerynbridgefoundation.org and someone will be in touch with you.

No fees were paid for completing this application.

Qualified Advocate Section
Name*
Address*
Street Address Address Line 2 City State 5 Digit Zip Code
Email*
Phone*
Place of Employment*
Relationship to Potential Recipient*
Connection to McKeryn Bridge Foundation, if any
Potential Recipient Section
Name*
Mailing Address*
Street Address Address Line 2 City State 5 Digit Zip Code
Email*
Phone*
Date of Birth*
Number of dependents and ages*
More Details
What kind of help is the potential recipient looking for? (ideal request)*
Amount of request*
If the foundation is unable to fulfil the initial request, how else can we be a resource for the potential recipient?*
Amount of secondary request*
What are special circumstances associated with this request – please detail as much as possible the cause of the hardship.*
If recipient is employed, please list place of employment, address, and amount of compensation. If unemployed, list employment history. If other members of the household are employed, please detail their place of employment, address, and compensation.*
Name of potential recipient’s employer (or supervisor) and best way to contact.*
List other income sources for potential recipient – (list all sources - including but not limited to employment of all household members, state/federal aid, child support, fundraisers, etc).*
Has the potential recipient looked elsewhere for help? If so, where?*
How would this grant request put the recipient back on solid ground?*
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Name
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Grant Application

Qualified Advocate Section

Potential Recipient Section

More Details

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