Grant Application

Can we help?

Financial Assistance for families raising children with T18

The goal of the Molly Bear Foundation is to provide supplemental financial assistance to families raising children with Trisomy 18. Unfortunately we will not be able to support every family in need, but we will do our best.

Things that the organization can help with include but are not limited to:
- Medical expenses above and beyond what insurance covers
- In-home care and/or therapy
- Formula if prescribed by a physician but not covered by medical insurance
- Supplemental oxygen for use in the home

If you think you or someone you know might qualify for funding from the Molly Bear Foundation, please fill out the request form. The more specific you can be, the easier the review process.

The Board of Directors reviews, and makes decisions on, Funding Requests as they are received.


Childs Name

Age

Diagnosis/Condition
   

Parents’ Names

Street

City

State

Zip

Phone

E-Mail
 
   

Pediatrician Name

Phone
   

Item/Service needed

Cost of Item

Recommended by

Service/Company/Provider

Phone Number
 
   
Please tell us a little about your child and how the item or service you are requesting would help him or her.
   
 

 

Contacting the Foundation

The Foundation can be reached by email at:
info@mollybear.org

We can be reached by mail address as follows:

Molly Bear Foundation
PO BOX 1258
Hightstown, New Jersey 08520

Our telephone number is (609) 228-8575