Jean Coldsmith Impact Grant

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 NameLast Name
Recommender's Email*
example@example.com
Student's WISER ID*
Student's Full Name*

First NameLast Name
What school does this student attend? *
Student's Grade*
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?*
YesNoI'm not sure
YesNo
YesNo
How many sessions are you requesting (Max 10)
Should be Empty: