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Request for Assistance
The request for funding from the Foundation must be submitted in a formal application. You can apply for funding by filling out the online form below or by downloading and printing the PDF file. Applications can be submitted online, emailed or mailed to the mailing address. Applications that are faxed will not be accepted.
Please make sure to read over the Foundation Policies. You can access this information by clicking the button below.
The request for funding from the Foundation must be submitted in a formal application. You can apply for funding by filling out the online form below or by downloading and printing the PDF file. Applications can be submitted online, emailed or mailed to the mailing address. Applications that are faxed will not be accepted.
Please make sure to read over the Foundation Policies. You can access this information by clicking the button below.
You can apply for funding by completing the online form below. You can also download a copy of the application at the bottom of this page. If you require a paper copy of the application please contact the Foundation.
DOwnload Application

Application for Support | |
File Size: | 671 kb |
File Type: |
If you are unable to view the PDF files you may need to install Adobe Reader on your computer. To do so, please visit Adobe Reader.
The Josie Foundation is non-political, non-partisan, and we do not support or endorse any political candidates. We organized to support individuals in need of support due to a life threating illness.