Grant Application

Dogs currently serves individuals in Wisconsin, Illinois and Michigan who can receive services from our approved providers.

Name of Applicant*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Total Cost*
Amount Requested*
How many dependents do you have?*
Please enter a number from 0 to 20.
Dependents are defined as unmarried children living at home or in college, under the age of 18, spouse, parents for whom you are the primary financial supporter, or disabled disabled family members for whom you are the primary caregiver.
Please describe the purpose of the grant*
What other resources have you explored for covering the costs associated with this request? Have you applied for grants from any other organization?*
Please provide proof of income for the last 3 years. You can do this by using the "Choose File" button below.
Drop files here or

Accepted file types: jpg, png, pdf.
Name of approved organization where you will receive services.*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Name
First Last
Phone*
Email
Website URL