Jean Coldsmith Impact Grant
The Jean Coldsmith Impact Grant allows students to access mental health services who would not otherwise be able to. Qualifying students have a mental health need as assessed by a school social worker (grief, trauma, crisis, etc.), lack health insurance and financial means to pay out of pocket for services.
Recommender's Name
*
First Name
Last Name
Recommender's Email
*
example@example.com
Student's WISER ID
*
Student's Full Name
*
First Name
Last Name
What school does this student attend?
*
Please Select
JES
CES
MMES
AES
WES
KES
MES
JHMS
JHHS
SIS
Student's Grade
*
Please Select
Kinder
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Please describe the type of services this student requires and the expected duration of treatment.
*
Does this student have health insurance? If so, what kind?
*
Does this student qualify for McKinney Vento funds?
*
Yes
No
I'm not sure
Have other funding sources been exhausted for this student?
*
Yes
No
Has this student previously received funding through the Jean Coldsmith Fund?
*
Yes
No
How many sessions are you requesting (Max 10)
Submit
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