Sunflower Stem Grant Application

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The Sunflower Project was founded in an effort to work to de-stigmatize mental illness. Many with mental illness struggle to afford treatment due to upfront out of pocket costs or an inability to afford the high cost of treatment. The Stem Grant aims to provide financial assistance to help cover treatment costs for those who cannot afford it. Please take the time to fill out this application and email sunflowerproject21@gmail.com with any questions or concerns. Grants will be awarded on a first come first serve basis and are dependent upon availability.

If selected as a grant recipient, we will notify you via email to collect additional information.

Email *

Name *

Phone Number *

City, State *

Grade level as of September 2021 *

Do you have a diagnosed mental health condition? *

Yes

If you answered no, do you have symptoms of a mental health condition, but may have not yet been diagnosed? If you answered yes, please select N/A *

Yes

N/A

Please tell us a little bit about yourself and your situation *

Please share why you would benefit from this grant *

Amount requested *

Employment Status *

Full time

Part time

Unemployed

Other:

Any additional information you would like our committee to know

Submit

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