Family Grant Application

• The information provided in this application is true and accurate to the best of my knowledge.
• I understand that Littlest Light grant funds are limited and that submission of an application does not guarantee financial assistance.
• I understand that the Littlest Light Board of Directors will review applications and determine grant recipients at their discretion.
• I understand that Littlest Light may request verification of treatment plans or costs before distributing funds.
• I acknowledge that grant funds, if awarded, may be paid directly to a medical provider, clinic, or related service when applicable.

All personal information submitted will be kept confidential and used solely for the purpose of evaluating grant applications and administering Littlest Light programs. Information will not be sold or shared outside of the organization except when required for grant verification or legal compliance.