Request Funding – OPEN

Please READ all below info & confirm you meet our specific criteria below.

If so you can request funding by clicking here.

Age and Residency Criteria

  • Birth to 21 years
  • Must reside in Southern New Jersey; Cumberland, Camden, Gloucester, Burlington, Cape May, Salem, and/or Atlantic County.

Medically Fragile and/or Special Needs Criteria

Technologically dependent in one or more of the following areas:

  • Mechanical Ventilation
  • Tracheostomy
  • Oxygen Dependency

or

Moderate to severe (or greater) developmental or acquired delay/disorder in one or more of the following areas:

  • Gross Motor
  • Fine Motor
  • Speech/Language/Communication
  • Cognition
  • Feeding/Swallowing

Application Notes:

1. Info must include Current Family Info.

2. Only list Requested Item Name – Not description of situation/need/history.

 

Documentation Required in Addition to/Separate from Application:

*Email to: sjkidstrust@comcast.net (preferred) or Fax to: (856) 489-1169.

    1. A blurb/letter (single page max) from the appropriate professional verifying the medical &/or developmental delay/disability criteria met, as well as the exact item requested and how it will be of benefit for your child. (* If request is for an iPad, letter must confirm that iPad has already been used successfully in school, therapy, evaluation, etc.)
    2. Specific information for the item requested. NA for iPads (ie. the catalog page with description and price, price quote from company, etc.) along with exact vendor name check would be made out to if approved (ie. a copy of the order form, etc). *Tax & s/h can be included up to $1200 total.
    3. ** Send in Document form – No Links or Photos.

Important Information | iPad Requests:

*Please read before applying.

ALL iPad requests must have back-up documentation that the child is able to use the device (ie. in therapy, formal evaluation, etc.) in order to be considered.

2 Available Options | Please do not add special cases, etc. to the request – if needed, call 856.498.1173 to discuss. Thank you!
  1. iPad with AppleCare+ & Case (Otterbox Defender or EasyGrab)
  2. Basic Package + 1 AAC app  *Specific app name must be included in therapist letter.