2026 Financial Assistance Application Form

2026 Financial Assistance Application
We are pleased to offer financial assistance for the following types of support:
- Subscriptions to Christian Science periodicals
- Christian Science practitioner and nurse bills
- CherishAbility Programs (tuition and/or travel assistance)
If assistance is granted, we ask recipients to complete an Acknowledgment of Funds form, which includes the opportunity to share how the assistance blessed the individual.

Requester Information

Please share your information below.
Your name*

First NameLast Name
Your email*
example@example.com
Your address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your phone number*

Area CodePhone Number

Information for the individual needing assistance:
What is the name of the individual needing financial assistance?*

First NameLast Name
What is their address (if different from the requester)?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Financial Assistance Request

CherishAbility provides financial assistance for services that support the spiritual growth and progress of individuals with developmental special needs through the study of Christian Science.
Please indicate the type of assistance you are applying for:*

Subscriptions to Christian Science periodicalsChristian Science practitioner billsCherishAbility Programs (tuition and/or travel assistance)
Based on the type of activities CherishAbility supports as described at the top of this form, please share the intended use of the funds you are requesting and how the activity will support the spiritual growth and/or further the individual’s understanding of Christian Science. *
What is the estimated total cost of the activity/service? *
What portion of the overall costs are you able to contribute?*
In support of your request for assistance, please provide an overview of your current financial situation (i.e. single-income family, the cost of specialized schooling and programs, job loss, emergencies, etc.). Your responses help us advocate for funding on your behalf. *
Has anything in your financial situation changed recently? If so, please share more below. Your responses help us advocate on your behalf. *
What is the amount you are requesting from CherishAbility?*
Date funds are needed*

MonthDayYear
Date
Have you sought other sources of assistance? If so, which?*
Is there any other information that would be helpful for us to consider? Please share more below.*
Who or how were you referred to CherishAbility? *

Should be Empty:

2026 Financial Assistance Application

Requester Information

Information for the individual needing assistance:

Financial Assistance Request