Grant ApplicationIf you seek funds for treatment.
You will not be not discriminated against because of your race, color, religious creed, ancestry, national origin, age, sex, sexual preference, political views, current or past drug use, or physical or mental condition. There are no correct or incorrect answers. Please believe that and answer each question as honestly as possible. We want to help you help yourself. In order to do that, we need as much detailed information about you and your condition as possible.
NONE of the information you provide will be shared with any entity outside of the Holistic Mental Health Institute.
We do require you complete all the information on the first page and as much as possible of the rest of the form. We recommend that BEFORE you begin to fill out the form, you review the information being sought and prepare your essays in advance.
You can download an overview of the application form here: GrantApplicationOverview for your reference. However, your application should be submitted online. With thanks.