Travel Experience Grant Application
SECTION 1: About You
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
City & State
Are you:
A neurodivergent individual
A parent/guardian of a neurodivergent child
Other (please describe)
If Other, please describe:
SECTION 2: Trip Details
Destination
Anticipated travel dates or season
Who is going on this trip? (names, relationship, ages if minors)
Have you already booked any part of the trip?
Yes
No
Somewhat
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SECTION 3: Why This Trip Matters
What inspired this trip idea?
How would this travel experience support personal growth, independence, regulation, or connection?
What are one or two goals for this trip?
SECTION 4: Accessibility & Need
Neurodivergent Navigators Grant Applications
What is your biggest barrier to making this trip happen? (check all that apply):
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SECTION 5: Media & Consent
Are you willing to submit a short story, reflection, or media after the trip?
Yes
No
Maybe
May we share anonymized quotes or photos to inspire others?
Yes
No
I certify that the information provided is accurate and truthful.
Submit
Should be Empty: