Sensory Room Application Form

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Please fill out the following questions to start the application process. Once filled out please allow 48 hours for our team to get back to you.

Email *

Do you Qualify for our Grant? *

Yes

Are you a registered employee of this organization?

Is your organization a public educational institution or does it have a 501c(3) certification?

Has your organization provided a special needs program for more than three consecutive years?

Does your organization provide a special needs program within the state of Wisconsin?

Does your direct service program have 5 or more special needs persons?

Did you answer NO to any of the questions above? *

Yes

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