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APPLY FOR A GRANT

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.

Grant Application

                   WwA Form Header
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






Need assistance with this form?

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.

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