Get ready to apply
Mitchell Thorp Foundation
Family Assistance
What you get
Help with medical care, housing, food, travel, hotels, childcare, tutoring, counseling, home or vehicle adaptations and repairs; up to $1,500 for burial after prior aid approval. Open now, but funds are limited, so ask early.
- Who starts it
- You, with their part of the form from your social worker or doctor
- How it’s sent
- Online, on their website
- Your time
- An hour or so, plus waiting for the form
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is 21 or under.
- Housing or utilities: up to three months if government aid is unavailable. Hotels: up to two weeks.
- Mental-health counseling: up to ten visits.
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Ask your social worker or doctor for their part of the formStart here. This is the part that takes the longest.
Mitchell Thorp Foundation needs 2 things from your social worker or doctor. Copy this message, or say it in person at the next visit.
Hi [social worker’s name], We’d like to apply to Mitchell Thorp Foundation’s Family Assistance. They offer help with medical care, housing, food, travel, hotels, childcare, tutoring, counseling, home or vehicle adaptations and repairs; up to $1,500 for burial after prior aid approval, and they are taking applications now while funds last. They need 2 things from you or someone on the care team: a signed confirmation of the diagnosis and their part of the form. Their form and instructions are here: https://www.mitchellthorp.org/copy-of-family-assistance Could you do that when you have a chance? I can send you the link, or bring a printout to our next visit. Thank you for everything you do for us. [your name] · [phone]
Copying is the only thing this page does with your text. Nothing is saved. -
Fill in their applicationIt is on their website.
Open their application ↗ Checked Aug 27, 2026What the form asks for
Applicant and householdDateParent/Guardian 1: Name, D.O.B, Relationship to the Child, Cellphone number, Email, Address, City, State, Zip, Current Employer, Position, Employer Address, Employer Phone, IncomeParent/Guardian 2: Name, D.O.B, Relationship to the Child, Cellphone number, Email, Address, City, State, Zip, Current Employer, Position, Employer Address, Employer Phone, IncomeParent/Guardian Marital StatusParent/Guardian Living ArrangementChild lives with (check all that apply)Primary LanguageAre you a U.S. CitizenIf you are NOT but the child is, please provide child’s documentation or SS numberUp to four siblings: Name, D.O.B, and AgeI identify my ethnicity asFavorite Sport, Favorite Athlete, Favorite Team, Favorite HobbyChild and treatmentChild’s NameAgeD.O.BGenderType of IllnessRelapsePrognosisPresent TreatmentDate Treatment BeganAnticipated Completion of TreatmentHospital Name, Treatment Facility Address, Hospital TelephoneDoctor’s Name, Doctor’s PhoneSocial Worker’s Name, Social Worker’s PhoneDo you give permission for your social worker or case manager to release your information to Mitchell Thorp Foundation for review to determine assistanceDo you have Medical InsuranceIf yes, please list your Insurance Company name; Secondary InsuranceDoes your Household receive Federal Health Insurance assistanceChild's Daily RegimenChild's Alternative Regimen: (i.e. Hyperbaric therapy, vitamins, acupuncture, massage therapist, etc)Show the rest of the form (2 more sections)
Finances, needs, and supportTotal Household IncomeOther Income; Social Security Income; IHSS; Food Stamps; Child Support; Unemployment; OtherChecking Institution (Bank Name), BalanceSavings Institution (Bank Name), BalanceOther- DescribeAuto 1 (Year/Make), Auto 1 Value, Auto 2 (Year/Make), Auto 2 ValueExpenses and three listed expense entriesWhat are your primary assistance needs at this timeDescribe your current support network: Family, Friends, Work, Community, Church, etcWill your support network be willing to help with fundraising efforts if neededSometimes families choose to have a fundraising page where friends, family, and community members can contribute. Would you like us to provide you with more information about this optionHow did you find out about the FoundationWould you like to share a social media page with us? Instagram, TikTok, FacebookConsents, signatures, and uploadsParent/Guardian 1 Signature; Signed: DateParent/Guardian 2 Signature; Signed: DateSocial Worker Signature; DateParent/Guardian Print Name; Parent/Guardian Signature; DateName, Address, State, Zip, Email, Cell phone, Relationship to ChildAttach First 2 Pages of your Tax returns from the previous yearRecent photos of your family and/or childHave ready
- Proof of income requested with the application.
- First two pages of last year's parent or guardian tax return;.
- Two or three photos of the child in treatment and one family photo.
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Submit it on their websiteSend their part of the form with your application, or the way they ask.
- Complete the live Jotform or the official print application, include all requested information and documents, obtain the actual signatures, and submit through the official route.
After you send
Retain confirmation and respond to committee requests; the board reviews applications weekly and contacts the family after an enrollment decision. If you have not heard back in two weeks, write and ask whether it arrived.
