Therapy Grant Application

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Many have felt that therapy was a good investment. But even those whose care was covered in part by insurance reported concerns about continuing to afford it. The Big Silence strives to make resources more accessible and through "Therapy for All" will provide support to those in financial need. We hope to grow the program and through donor support provide even more therapy grants. Please see our FAQs for more information about the program.

Email *

Have you participated in therapy before? *

How did you hear about this program?

Are you in need of financial support to attend therapy? *

Please provide a brief explanation of how this therapy grant would be beneficial. No personal medical information, please! *

Do you have any coverage for mental health counseling through medical insurance?

Age *

Under 18

18 to 34

35 to 44

45 to 60

Over 60

Prefer not to answer

Gender *

Female

Male

Non-binary, gender fluid, gender non-conforming

Another gender

Prefer not to answer

Race, Ethnicity, or Origin *

American Indian or Alaska Native

Asian

Black or African American

Hispanic, Latino, or Spanish origin

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Another race, ethnicity, or origin

Prefer not to answer

Your zip code *

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