qSPF Gender Affirming Care Grant Application

  • GENDER AFFIRMING CARE GRANTS

    Applications due May 29th at 11:59PM

  • qSPF is providing Gender Affirming Care (GAC) Grants to 24 trans people each year who live in the Greater Seattle Area, WA. These grants must be used toward covering the costs of gender affirming surgery or procedure. Trans people have less access to health insurance, sick pay, and family support making it much more difficult to plan and pay for gender affirming surgeries and procedures. qSPF’s intention with these grants is to provide support to those who need it most. 


    Cheer Grant

    Each quarter, 1 grant for $5,000 will be issued. 

    This grant is named after Cheer Seattle for their generous donation of $40,000, underwriting the entire first year of GAC Grants. Thank you, Cheer Seattle! 


    Joy Grant 

    Each quarter, 5 grants for $1,000 will be issued. 

     

    This application is for both grants.

     

    Notifications will be sent out by June 25th.

     

    If selected to receive a grant, it will take approximately 4 weeks from the date of notification for you to receive the funds. This is an estimate, not a guarantee.  

     

    If you have any questions or need any assistance with this application, please email info@qspfcommunity.com 

  • General Information

    This will help us determine your eligibility.

  • To be eligible for a Gender Affirming Care Grant you must 

    • Identify as trans (including transexual, transgender, nonbinary, two spirit, agender, and all non-cis identities) 
    • Be 18yrs or older
    • Live in the Greater Seattle Area*
    • Be actively planning a gender affirming surgery or procedure

    *We define the Greater Seattle Area with these edges:

    • Southern: As far as and including Tacoma.
    • Northern: As far as and including Everett.
    • Eastern: As far as and including Bellevue.
    • Western: As far as the Puget Sound Coast. Not including islands.
  • Format: (000) 000-0000.
  • Do you identify as a trans (transgender, transexual, genderqueer, nonbinary, two spirit, or any non-cis identity)?*
  • Are you 18yrs or older?*
  • Are you planning a gender affirming surgery or procedure?*

  • Information about your Surgery (5 Points)

  • Points range from

    5 points for

    • a set surgery date
    • no insurance coverage, and
    • high cost of surgery 

    to 1 point for

    • no surgery date
    • insurance covers most of the costs
    • low out of pocket costs
  • Do you have health insurance that covers all or part of this surgery or procedure?*
  • Have you applied for a Gender Affirming Care Grant from qSPF in the past? (You are welcome to apply multiple times)*

  • Employment Information (5 Points) 

  • Points range from

    5 points for

    • income of 0-$30,000
    • unemployed or under-employed
    • no access to paid time off(PTO) or Washington Paid Family and Medical Leave(WPFML) 

    to 1 point for

    • income over $100,000
    • stable employment
    • qualifies for PTO and WPFML
  • Are you currently employed?*
  • Does your employer provide paid time off?*
  • Do you qualify for Washington Paid Family and Medical Leave? To qualify your employer must pay into the program, and you must have worked for that employer for at least 820 hours in the last 4 quarters. Check with your HR department and https://paidleave.wa.gov/ if you’re unsure.*

  • Financial Context (5 points) 

  • Points range from

    5 points for

    • long recovery time
    • high basic living costs
    • little to no savings 
    • no financial support from family or significant others
    • other financial burdens such as dependents, other medical concerns, or other debts

    to 1 point for

    • short recovery time
    • low basic living costs
    • high savings
    • robust financial safety net
    • no other financial burdens
    • missing information
  • Rows

  • Please describe your financial context in the questions below. 

  • Personal Statement (3 Points) 

  • Points range from

    3 points for

    • a compelling personal story
    • a narrative that helps us understand you and the context of your application
    • important information is provided that helps us understand your needs

    to 1 point for

    • not very much information shared
    • no additional context provided 
    • no sense of who the individual is or why this surgery is important to them

    Grammar and spelling will not impact scoring. We are interested in personal expression, not gatekeeping through grammar.

  • Feasibility (3 Points) 

    Panelists will review the entire application to assign a feasibility score.

  • Points range from

    3 points for

    • applicant has done the research to know cost of surgery, insurance coverage, recovery time, and basic living costs
    • there is a small enough gap between costs and savings that a grant from qSPF would close the gap and make the surgery or procedure possible 
    • applicant has taken steps towards their surgery or procedure 

    to 1 point for 

    • applicant doesn't seem to have all the information about their surgery or their recovery needs
    • applicant has more pressing financial needs that could take precedence over a gender affirming surgery or procedure
    • the gap between savings and financial need is larger than the grants that qSPF offers 

  • Public Announcement (not scored)

    Will not impact your chances of receiving the grant.
  • If you receive this grant would you like your name and image to be publicly announced on social media? (We do not use this question to assess eligibility, so please feel free to remain anonymous if you wish)*
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  • Demographic Questions

  • All demographic questions are OPTIONAL and will not be considered by the committee during the selection process.


    These questions help qSPF better understand the make-up of our community and how we can best serve you. They also help us represent our community to grant-making organizations and donors in order to raise funds necessary to continue running the fund.


    All responses to this section will be kept confidential. All response data is stored in a password protected electronic format. The demographic responses in this survey may be publicly shared, as outlined above, but will never disclose your personal identity. By continuing with this section, you acknowledge you've read and agree to these terms.

  • Please select your age group.
  • With which gender identities do you identify? Check all that apply.
  • With which of the following racial designations do you identify? Check all that apply.
  • Do you self-identify as Hispanic/Latino?
  • Do you identify as LGBTQ+?
  • Do you identify as BIPOC?
  • Do you identify as a person living with a disability?
  • What is your total household income?
  • Should be Empty: