Family Support Grant Application Form
The Ladies of Hope Ministries (The LOHM), with support of a donor, will provide a one-time $1,500 grant to 50 women in the Federal Bureau of Prisons to help support family visits around Mother’s Day. If you would like to be considered, please fill out this form to be considered for the grant.
Your Name
First Name
Last Name
FBOP Register Number
*
Facility
*
How long have you been incarcerated?
*
Release date
*
-
Month
-
Day
Year
Date
Are you a mother?
*
Yes
No
Number of children
*
Children's Names & Ages
How far away are you located from your children currently?:
When was the last time you received a visit from your children?
*
Who referred you?
Who should we contact?
*
In a few sentences, share why this support would mean something to you and your family.
*
PLEASE ADVISE:
This grant will be administered on a first come first serve basis. While we understand that there are a lot of women who need support to connect with their children, once the funds have been depleted we will not be able to make further grants.
Submit Application
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