Grant Information

A Child Like Mine provides grants to individuals with an autism diagnosis. These grants help provide recipients with access to necessary services and equipment - that are largely not covered by traditional insurances.

Services include but are not limited to:

Therapies

Sensory Items

Adaptive Equipment

And a variety of services or items that support the individual's long-lasting success.

Grants are awarded based on eligibility and awarded amounts are up to $250. Recipient's are not awarded the funds directly, rather the payments are made by us, directly to the service or equipment provider, and then the item is shipped directly to you OR service accommodations will be made if requestind a service.

Eligibility

Must be a Georgia resident

Must have an official autism diagnosis

Ready to Apply?
Fill out the form below!

Contact

Recipient's First Name

Recipient's Last Name

Age

Gender

Male

Female

Parent/Caregiver's Name & Relation

Phone Number

Address Line 1

Address Line 2

City

State/Country

i.e. Georgia/United States

Proof of Diagnosis

Any Additional Diagnosis Documents

Services/Equipment Requested

Please be specific, providing any item numbers, website links, or any information to help us better understand your need and what/where the item is.

Service Requested Information

If not requesting a service, type "N/A" in the field.

Statement of Impact

Please provide a letter from a therapist or healthcare professional stating the impact the requested service or item will have.

Amount Requested & Cost Breakdown

We provide up to $250 and funds are sent directly to the service or equipment provider. Applicant's will not receive the funds directly. If requesting items or equipment, they will be purchased and shipped by us to you.

Have You Received Assistance From A Child Like Mine Before? If So, When?

How Did You Hear About Us?

Are You Willing To Submit A Picture Of The Recipient So We Can Share It With Our Supporters?

Yes

Photos will only be shared on our Facebook Page and Website, as a way for donors and sponsors to see the impact their contributions are making.

By typing my name, I certify that I have read and agree to A Child Like Mine's Privacy Policy

By typing my name, I certify that I have read and agree to A Child Like Mine's Liability and Release Policy

By typing my name, I certify that I have read and agree to A Child Like Mine's Publicity and Public Photo Release

I hereby certify that all information contained in the above application is true, accurate, and complete.

Date

Month

Day

Year

Grant Information

Eligibility

Ready to Apply? Fill out the form below!

Contact

Ready to Apply?
Fill out the form below!