2026 Financial Assistance Application Form

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. Your thorough responses to the questions below help us advocate for funding.
Please indicate the type of assistance you are applying for:
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.).
Has anything in your financial situation changed recently? If so, please share more.
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?

2026 Financial Assistance Application