Caregiver Grant

Caregiver Relief Grant

This Caregiver Relief Grant has been established with funds from the Alzheimer’s Foundation of America to serve the enhanced needs experienced by caregivers of individuals living with Alzheimer’s and other forms of Dementia (cognitive caregivers). During crisis situations, such as the COVID-19 pandemic, where economic recession or depression exists, caregivers are particularly vulnerable and often overlooked in government and organizational efforts to distribute economic support. During the COVID-19 pandemic, when in-home respite and companion care is unavailable and the Dementia population and their caregivers are particularly at-risk, funding support should be made even more accessible. This fund will provide 20 cognitive caregivers and their families with $250.00 to help reduce the financial burden and anxiety that caregivers can experience every day and particularly during this unprecedented time.

Statement of Inclusion:

HC3D, Inc. was formed to transform the lives of all caregivers and expand Alzheimer’s and Dementia-related education benefiting the whole community. Our mission is only fulfilled by an intentionality and commitment to expressing value to all people. It is the policy of HC3D to actively engage and recognize principles of fairness, equity, and social justice. HC3D, Inc. affirms human diversity in its many forms encompassing but not limited to ethnicity, race, gender, sexual orientation and identification, age, economic circumstance, class, disability, geography and philosophy.

Requirements:

Caregiver Status

Must be the primary caregiver (non-live in primary caregivers will be considered) to their person with Alzheimer’s, a form of dementia, or cognitive impairment/decline. We strongly advise offering evidence illustrating your person’s condition in any part of the testimony portion of the application.

Timeline:

Application Instructions

Please fill out the application (below). The first four sections are required, but will not be scored. In order to qualify to receive funds, all sections of the application must be filled out and residence, caregiver, and diagnosis requirements met. The final part of the application can be written as a cohesive essay or short answers, with a total of 500 words. This section is the scored portion of the application, with up to 20 points awarded for each question based on the need expressed and the quality of the story told. This will be up to the discretion of the Grant Review Committee.

Caregiver General Information
Name:*
First Last
- Gender:*
- Age:*
- Address:*
  Street Address City State ZIP Code
- Care Recipient General Information
- Name:*
  First Last
- Gender:*
- Age:*
- Care Recipient Dementia Assessment/Diagnosis
- Type of Dementia Assessment or Diagnosis:*
- Date of Assessment/Diagnosis (MM/YYYY):*
- Age at assessment/Diagnosis:*
Current Care Situation
- Relationship to Care Recipient:*
  Please select the one statement that best describes your current care situation:
  - I am the primary family caregiver for this person and have help from other family members and/or friends that live outside the home.
  - I am the primary family caregiver for this person and live alone with them.
  - Other
- Explain:
In up to 500 words total, with as much detail as possible, please describe the following:
Each question worth up to 20 points
How has dementia affected you, your loved one, and family physically/emotionally/financially?*
How has providing care for your person changed you as a person? ( i.e. how you see the world, family, relationships, time, priorities, etc.)*
Tell us about your daily struggles and what challenges you face providing care.*
What has been the most life-changing affect the COVID-19 pandemic has had on you and your Person/family?*
If awarded the Support Grant of $250.00, how would you use the funds?*

Caregivers Flourishing Foundation

Caregiver Relief Grant

Statement of Inclusion:

Requirements:

Caregiver Status

Timeline:

Application Instructions

Caregiver General Information

Care Recipient General Information

Care Recipient Dementia Assessment/Diagnosis

Current Care Situation

In up to 500 words total, with as much detail as possible, please describe the following: