Individual Assistance Grant Application
For parents of children 3 years and older

Please complete this form if you are requesting financial support to ensure safety in your home, while you work. 

If your child attends a childcare facility during your work hours, please request that your childcare facility complete the application for facilities, under the APPLY FOR GRANT link.

Empowering parents of children with disabilities to re-enter and remain in the workforce.

Once your application has been processed, you will be contacted within one week by the PVHM Foundation.

If your situation is urgent or time sensitive, please feel free to reach out to Joyce at:  or (920)850-3409