Fillable Charitable Funding Information

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Charitable Funding Information

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Charitable Funding Information
Eligibility Requirements for Individual Grants:
- Applicants must suffer from a neurological disorder with preference going to spinal cord injuries.
- Applicants must demonstrate financial need and may be required to provide documentation.
- There is no age requirement.
- Applicants must reside in the United States.
- Applicants must request specific modifications or equipment to apply for a Bryon Riesch Paralysis Foundation
grant; requests for "anything you can give" will not be considered.
- Partial Payments toward larger items (i.e. vans) will not be considered unless all payments are already in place for
the total amount. For example, if requesting $7,000 toward a $30,000 van, you must have already obtained $23,000
to complete the transaction.
- Examples of eligible items include upgrade and maintenance of wheelchairs, vehicle modifications (i.e., hand
controls or lifts), small home modifications including ramp and lift installation, computers, and other adaptive
equipment.
- If possible, be willing to provide a picture of the completed grant request.
- Grants are disbursed directly to suppliers of the desired equipment or modifications. Individuals making the grant
application are required to submit estimates from potential suppliers.
Please complete all sections of the application; incomplete applications will not be considered.
How to Apply For an Individual Grant:
Applicants must complete all questions of the applications in order to be considered for a BRPF Individual Grant,
including providing contact information and estimates from at least two (2) suppliers and/or contractors for the
equipment or renovations requested in the application; incomplete applications will not be considered.
NO PHONE CALLS PLEASE. Due to the volume of grant applications, we respectfully request no phone calls
inquiring about the status of applications. Grant recipients will be notified by phone, email or mail upon approval.
Application Submission Periods and Requirements
In addition to the application, written quotes from companies/contractors for modifications must be included.
Applications that do not have all documents included will not be reviewed.
All materials submitted are non--returnable.
Applications are accepted year-round and are considered at quarterly board meetings. Notifications of awards will be
mailed out after the Board has met. Grants typically range from $2,000 to $7,500; there is no minimum award.
Grants are awarded quarterly.
Because of the high number of grant requests you will only be notified if you receive a grant.
All supporting materials should be submitted to info@brpf.org or mailed to:
Bryon Riesch Paralysis Foundation
N14 W23900 Stone Ridge Dr
Waukesha, WI 53188
Charitable Funding Application
Name Date
Address
City State Zip
Phone Fax
Email Birthdate
Nature of
Disability
If SCI, what
level
Date of injury
Amount of
Request
Total
amount
required
How did you hear about Bryon Riesch Paralysis Foundation?
Describe the nature and degree of your neurological disorder, and how it affects your everyday life.
Provide a detailed description of the equipment of modification(s) for which you are applying, including
manufacturer's name, model numbers, etc. if applicable.
Describe your sources of financial support. (Note: you may be asked to provide supporting documentation.)
Describe other factors that you wish to be taken into consideration (health factors, living arrangements, financial
or family issues, etc.)
Provide a brief explanation of how the equipment or modification(s) for which you are applying would impact
your daily life.
List other organizations from whom you have requested funds.
Have other
funds been
secured?
Yes
No
If yes, how much?
Additional
comments
In order to be considered for a charitable grant, applicants must provide estimates for the cost of the equipment or
renovations requested. Please provide the names, addresses and phone numbers of at least two (2) companies
and/or contractors and their written estimates for the equipment or modification(s) requested. Please attach the
written quotes.
Company 1 Contact name
City State Zip
Phone Website
Price quoted
Company 2 Contact name
City State Zip
Phone Website
Price quoted
Company 3 Contact name
City State Zip
Phone Website
Price quoted
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Charitable Funding Information

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Completed 6 October 2021

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