Apply for Aid & Assistance

This Application Web Form is currently ONLY supported on a desktop or laptop computer using the latest Firefox Browser.
Free Firefox Download for PC

This particular web form is quite lengthy and is currently NOT supported by mobile devices or Safari browser. We apologize for the inconvenience. We are working to resolve this technical issue.

If you prefer, you can request a paper application to be mailed to you by emailing us at

Application for Aid & Assistance

Upon receipt of your web form submission, someone from our organization will reach out to you to assist you with the next step in this process.

Thank you,
The Daniel Robertson Family Foundation