Family Grants (internal) – Down Syndrome Association of Northeast Ohio

Family Grant (2025)

Individual with Down syndrome(Required)

First Last

Date of Birth(Required)

Parent/Guardian Name(Required)

Parent/Guardian First Name Parent/Guardian Last Name

Address(Required)

Street Address Address Line 2 City State ZIP Code

County of Residence(Required)

Email(Required)

Phone

Dependent Children (Names, Ages)

Describe Your DSANEO Volunteer Activities

Describe the family's volunteer and/or fundraising history with DSANEO, as well as current volunteer, committee and/or fundraising activities. If not currently active, it is requested that families contribute between 5-10 hours this year in a volunteer capacity. Please indicate activities in which you have interest.

Activities

Serve on the Buddy Walk Committee

Serve on the Sunburst Gala Committee

Serve on the Holiday Party Committee

Volunteer for Education Programs

Volunteer at the Buddy Walk

Volunteer at the Sunburst Gala

Other - Do you have a special talent or skill?

Request type

Amount(Required)

Purpose

Provider's Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Website

Dates of Activity(Required)

Would your child be able to participate in this chosen activity without the grant?(Required)

If desired, please explain any special circumstances below (500 characters or less).

Documentation(Required)

Drop files here or

Max. file size: 100 MB.