To apply for assistance as an individual or family, or to apply for grant funding as a business or organization, please fill out the appropriate form below and submit your application to

We take your confidentiality very seriously at ElkhartCares. If you have any questions, please contact us by email at, or by phone at (920) 226-0903


Individual or Family Form

Click here if you are applying for assistance as an Individual or Family:

Application Form for Individual or Family

Business or Organization Form

Click here if you are applying for Grant Funding as a Business or Organization:

Application Form for Business or Org


Please submit your application to

We look forward to connecting with you and offering ease.

Thank you!