Due to a technical issue, we kindly invite people who applied for on our website between April 27th and June 13th, to submit another request.
Please use the application form below to apply for all charitable monetary donations, healthcare education or research grants, or product donations. All requests should be received at least six (6) weeks prior to the date the donation or grant is needed in order to ensure time for review and processing.
If you have any questions or problems, please send an email to firstname.lastname@example.org.
Due to reported problems related to the use of Safari 11, we suggest you to use a different browser to submit the form.