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Nominate Someone

Do you or someone you care about need assistance?

 

The Butterfly Foundation is dedicated to supporting people who have suffered a severe loss, illness, or other hardship by empowering them emotionally, spiritually, physically, or financially. We focus on those who do not have other resources or charities to turn to by providing services to help stabilize their lives.

 

If our purpose resonates with what you or your loved one has experienced, please nominate yourself or them today.  The Butterfly Foundation awards grants quarterly. The deadlines are March 31, June 30, September 30, and December 15. 

The Butterfly Foundation Wings of Hope Grant Application

Nominees MUST be Colorado residents.

Is the nominee a Colorado resident?

Nominees MUST be Colorado residents.

What is the nominee's age?
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65+
What is the nominee's current employment status?
Employed full-time (40 or more hours per week)
Employed part-time (up to 39 hours per week)
Unemployed and currently looking for work
Unemployed and not currently looking for work
Student
Retired
Self-employed
Homemaker
Unable to work
What is the nominee's yearly household income?
Less than $20,000
$20,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
Over $100,000
Does the nominee rent or own?
Why does the nominee need assistance?
Child hospitalized/diagnosed with a serious illness
Lengthy hospitalization of head of household
Automobile accident/repairs
Laid off from work
Home catastrophe - flood, fire etc.
Death of immediate family member (not extended family)
Other

Please provide background information about the situation leading to the request for assistance.

Please describe how The Butterfly Foundation could help the nominee rise above their current hardship or tragedy. Include any plans and goals related to employment, housing, education, child care, health care, and financial stability.

How would you like The Butterfly Foundation to help? (select all that apply)
Vehicle repair
Utility bills
Medical equipment
Healthcare resources
Childrens items, school items, clothing
Food security
Rental assistance
Housing repair
Mental health assistance
Other

The Butterfly Foundation can help secure physical items needed to perform daily life activities, including those at home, work, and school. The Butterfly Foundation does not provide financial assistance for credit card debt, regular major medical bills, or major financial relief.

An exact dollar amount needs to be requested for your application to be considered. 

Please wait for file to upload.

Are you interested in personal support? (select all that apply)
Connection to a support group
Life/job coaching
Mental health support
Massage or acupuncture
Personal makeover
Personal/family retreat
Other
Other assistance received (select all that apply)

Please tell us about any other types of assistance you receive currently or have received in the last 3 years.

Include specific amounts received, source and frequency.

Have you received support from The Butterfly Foundation in the past?
Yes
No
Do your references know that The Butterfly Foundation will be contacting them on your behalf?
Yes
No
How did you hear about The Butterfly Foundation?
Friend/Family
Social Media
Google
Organization

Please wait for file to upload.

I give The Butterfly Foundation permission to use photographs or videos of me and my family in publications, news releases, online and in other communications related to our mission of helping Colorado families?
Yes
No
Are you willing to provide a testimonial of how assistance from The Butterfly Foundation has impacted your life?
Yes
No
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