Apply for a Grant

Grant Application

Grant Application

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The information in this application is confidential and protected under the Privacy Act. The information is to be used solely by the staff of Walking With Anthony in determining grant eligibility. If you have received this information in error, please destroy the documents or mail the originals to: Walking With Anthony 9903 Santa Monica Blvd. Suite 1024 Beverly Hills, CA 90212. 
In an effort to provide the most safe and effective sponsor programs, we require all applicants to complete this application. Information contained on this application will remain confidential. After your application is reviewed, our office will contact you by e-mail or phone. The completion of this application does not guarantee your participation in our grant program. 
Client Information

Contact Information (if different than above)

Employment History

Monthly Income 

In case of emergency, please notify

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