• Before submitting your wish request, please carefully review our Senior Wish Makers Qualifications and Guidelines below. Once you have read through the guidelines, please check the acknowledgement box at the bottom of this page to continue with your online wish application.

  • Wish Recipient Requirements:

  • Wish Guidelines

    Wish Guidelines

    • Resident of the State of Oregon and a U.S. Citizen.
    • 65 years of age or older.
    • Annual total household income less than $35,000.
    • Must be cognitively, emotionally and physically capable of communicating and experiencing the wish.
    • Must be able to fulfill the wish on your own or with family assistance.
    • Proof of age, income and physician’s clearance may be required if approved for the wish.
  • Wish Restrictions:

  • Wishes Granted:

    • Travel to see friends or family or family to come visit you (family reunions, hometown visits)
    • Classes (music, art, computer, dance, cooking)
    • Memorable experiences (sporting events, concerts, broadway show, fishing trip)
    • Electronic devices to stay connected with family and friends (tablets, computers, phones)
    • Household appliances, furniture and mobility equipment to enhance quality of life (lift chair, microwave, air conditioners, walkers)
    • Financial assistance - we focus on experiences and items rather than direct financial assistance (cash payments, utilities, rent, etc) 
    • Harmful or dangerous wishes
    • Medical expenses – including surgery, prescriptions, dentures
    • Travel outside the continental U.S.

    Please note: The examples listed above are meant to provide guidance and do not represent our complete range of possibilities.

  • Wish Recipient Process

  • Upon receipt of your application, a Senior Wish Makers representative may call or email you to discuss your wish. A volunteer committee meets every month to review applications for approval. All applicants will be notified of their approval or denial. Depending on the wish, it could take up to 90 days to fulfill. Please allow plenty of time for approval and planning. We regret that not every qualifying wish can be granted. Senior Wish Makers has sole discretion in the decision to grant or deny a specific wish from an applicant.

    For any questions regarding this application, please don’t hesitate to contact Karen Ahner at 503-312-0116 or karen@seniorwishmakers.org

    Thank you for allowing us the opportunity to make your wish come true! We look forward to reviewing your application.

  • Wish Application

    Wish Application

  • If you are nominating a senior for a wish, please remember that all questions refer to the senior you are nominating. Please be as thorough as possible to ensure your application is considered.

  • Wish Recipient Information

  • Date of Birth
     / /
  • Format: (000) 000-0000.
  • Do you have health insurance coverage?
  • Military veteran?
  • Are you nomating yourself or someone else?
  • Format: (000) 000-0000.
  • Has the Wish Recipient been notified that they have been nominated for a wish?
  • Does the Wish Recipient Live Independently or at a Senior Residential Facility?
  • Does the wish recipient have any medical conditions, disabilities, or mobility challenges that should be considered when planning this wish?
  • Date
     / /
  •  
  • Should be Empty: