NCKDSS Funding/Grant Request

Funding assistance can only be requested by the parent, guardian or case worker of the individual with Down Syndrome. After filling out the form, hit Submit, and the information will be sent directly to all NCKDSS board members via email.

If you have any questions or need a special code, please contact Shella Thoman at nckdssbuddywalk@yahoo.com or call 785-275-1777.

Click here for details about the Grant Program

Special Code

Name of Requestor

Name of Official NCKDSS Member

Street Address

City, State, Zip Code

County

Phone Number

Amount Requested (Numbers Only)

Date Funds Needed

Type Of Grant

Family
Educational
Medical
National Convention

Title of Request (Limit to 30 Characters)

Description and Details of Request

Attachment 1

Attachment 2

Attachment 3

By submitting this application, I affirm that the facts set forth in it are true and complete.

If you do not receive an email response, please contact Shella.