Gender Affirming Garment/Prosthetic Grant Application

Home > Gender Affirming Garment/Prosthetic Grant Application

To apply for this grant you must: be an adult aged 18 or older and reside in Lehigh, Northampton, Monroe, Montgomery, Berks, Bucks, Chester, Delaware, Lancaster, Luzerne, Lackawanna, Wayne, Pike, Carbon, Columbia, or Schuylkill County in Pennsylvania. All grant applications from other locations will be declined.

Applications that are not complete (including sections on income and expenses) may not be considered. Please provide as much information as possible in the fields below

Financial Aid Application - Gender Affirming Garment/Prosthetic

  • Personal Information

  • Financial Information

  • Prior Applications

  • Affirmation