Jan 2026 Grant Cycle - Application

Grant Application

Deadline: January 15, 2026 (Spring/Summer Cycle)
The Theresa Foundation is interested in the growth, development and general well being of children with special needs by promoting creative arts and recreation.

Therefore, applicants requesting funds for arts and recreation projects are encouraged to design creative programs that will benefit children. The activities must focus on encouraging and assisting children with special needs in the areas of the arts and recreation designed to stimulate creative efforts.

Please DO NOT EMAIL applications OR support materials, all submissions must be received via our online application process which requires an electronic signature (e-signature) for data security, privacy, and compliance.

Final decisions will be made by the Board of Directors with input from the Funding Panel.
ORGANIZATION/APPLICANT
Contact Name*

First NameLast Name
Contact Email*
example@example.com
Applicant Name (if applicable/applying for direct support)

First NameLast Name
Applicant Email (if applicable/applying for direct support)
example@example.com
Organization*
if applying for Direct Support, please enter the applicants full name.
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Website*
Taxpayer ID #*
Organization Phone Number*
Please enter a valid phone number.
Overall purpose and/or mission of the organization/applicant:*
PLEASE BE SPECIFIC
Activities or services for children with special needs:*
PLEASE BE SPECIFIC
Application for (please check all that apply):*

Assistive Devices/EquipmentRecreation ProgramsCreative Arts (dance, art, music, drama)Other (please describe below)
If other, please explain:
Amount requested from the Theresa Foundation:*

Briefly Describe Your Program
Ongoing or New Program?*
Number of classes/sessions:
Number of students per class/session:
Length of classes/sessions:
Frequency of classes/sessions:
Provide content of classes/sessions (choose all that apply -- please DO NOT email files or links):*

check box if sample lesson plans are uploaded belowfor music, art, and drama applicants, check box if audio/visual materials and/or photographs are uploaded belowfor dance applicants, check box if YouTube clip of teaching/choreography is provided belowOther (please describe below)
File Upload

Cancelof
YouTube link
If other, please explain:

POPULATION SERVED
Ages of children to be served:*
Total number of children to be served:*
Provide a video or link to your program or workshop (please DO NOT email files or links):*

check box if video is uploaded belowcheck box if YouTube clip is provided below
File Upload

Cancelof
YouTube link
Briefly describe the special needs of the children for whom the program serves:*
PLEASE BE SPECIFIC
Please explain how these funds will be used:*
PLEASE BE SPECIFIC
Please provide any additional information you deem appropriate:
PLEASE BE SPECIFIC
In what ways will your organization recognize the Theresa Foundation for the grant provided to you (please check all that apply):*

promotional materialswebsitee-blastflyerblogother (please describe below)
If other, please explain:
Estimated cost of overall program:*
Include itemized budget below:*

Please list other funding sources:
Organization (public/private)
Funds Received (expected)
Organization (public/private)
Funds Received (expected)
Organization (public/private)
Funds Received (expected)
Organization (public/private)
Funds Received (expected)
Organization (public/private)
Funds Received (expected)

Provide three (3) professional references:
Reference One

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Relationship
Reference Two

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Relationship
Reference Three

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Relationship

Grant Application Authorization*

I certify that this application is true to the best of my knowledge.
Electronic Application Authorization*

By sending this application electronically acknowledges your certification to the accuracy of this application.
Signature*

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Grant Application

ORGANIZATION/APPLICANT

Briefly Describe Your Program

POPULATION SERVED