This is the grant request application for our FY2025 1st Quarter. This is the only application form that will be accepted July 1, 2024, through September 30, 2024. The 1st Quarter application will be removed from our website on September 30, 2024, or whenever allocated funds for this quarter have been exhausted – whichever occurs first. Do not save this application for a future date. The application is updated on a quarterly basis and the current quarter’s form must be used to be accepted.

A new application form for the next quarter will be available October 1, 2024, on our website.

All requested documents must be received within 21 days of the grant request receipt notification date. If documents are not received within that time frame, your application will be closed, and you will need to re-apply.

This is a first-come, first-served program, and funds are exhausted quickly. If you do not submit the requested documents in a timely manner, funds may run out before your grant request is fulfilled.

Bills must be past due when you apply. Our program does not provide funds for “anticipated” past due or late bills. Mortgage and rent payments are considered past due after the grace period for payments provided on the mortgage statement or as written in your lease.

This program does not pay down debt. The past due amount owed cannot exceed our limit of $2,500.00.

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Critical Assistance Grant Application: FY 2025 Q1 - 7/24 – 9/24

DO NOT SEND ANY DOCUMENTS UNTIL THEY HAVE BEEN REQUESTED. If a file has not been created for you, the documents you send will be discarded.
Have you ever received a Purple Heart Foundation Grant? If you have previously received a grant from us, you are ineligible to apply.*
(Please read our Eligibility, Grants Type & Scope, and Grant Conditions on our website to ensure your request is within our Grant Program Policy). I have read and understand the Eligibility, Grants Type & Scope, and Grant Conditions on the website.*
Name*
Address*
MM slash DD slash YYYY
MM slash DD slash YYYY
A legible DD-214 will be required
Check one of the following*

Grant Information

Company or landlord's name
Company or landlord's address for mailing payments
Referring organization's representative name
Referring organization

Foundation Non-Discrimination Policy:

The Purple Heart Foundation does not and shall not discriminate on the basis of race, religion, sex, sexual orientation, age, disability, or any other characteristic protected by law in any of its activities or operations. These activities include, but are not limited to, selection of volunteers or vendors, and provision of services and grant funds. The Purple Heart Foundation is committed to maintaining an inclusive environment with equitable treatment for all. The veteran and/or applicant will be contacted for additional information once the initial review of the request is completed.

Additional Information

DO NOT SEND ANY DOCUMENTS UNTIL THEY HAVE BEEN REQUESTED! If a file has not been created for you the documents you send will be discarded.
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