Direct Help Grant Application

We have reached our capacity of grant applications for 2026 at this time. You are still welcome to apply, and your application will be added to the queue. You will be notified if more funding becomes available throughout the year. If you are not notified by the end of the year, your application is considered closed, and you will be eligible to reapply in 2027. Thank you for your understanding.

Thank you for participating in our Direct Help Program. Our mission is to provide services, medical necessities, and educational tools to families who live in Central California that are affected by Autism. Please fill out this application in its entirety before submitting.

Privacy Statement:

The information included in this application will remain private and confidential and is used for Foundation use only.

Child With Autism

Parent/Legal Guardian

Shipping Address

(If Different From Mailing Address)

Doctor(s) Involved In Child's Diagnosis and/or Treatment of autism:

Requested Items to be Purchased by Foundation if Grant is Awarded

Note: Please be very specific with your description of monetary help or items needed for your child (make, model, color, etc.). At no time will money be awarded directly to families. All grant offerings are paid directly to the vendor and/or service provider. This may include tuition for specific classes, medical evaluations, learning materials, testing, therapies, etc. If you are interested in additional items to total the allowed grant amount of $500, please email additional items, cost, service provider, vendor, or website/link to buy items to grants@carlosvieirafoundation.org. A recommendation letter is not required for any items that can be found on or are similar to those found on our approved websites: arktherapeutic.com, autism-products.com, funandfunction.com, pecsusa.com, and nationalautismresources.com *Note: iPads, electronic devices, computers/laptops cannot be granted two years in a row. We cannot order items from Costco as it requires a membership.

Grant Impact

Previous Grants

Future Correspondence

Email is the preferred/quickest option when processing grants.

Application Completed By:

List of names of those that helped complete this application

Demographic Questionnaire

Please Note: This next section is optional and not required to be filled out in order to qualify for the Carlos Vieira Foundation Direct Help Grant. However, it is essential information needed by the Carlos Vieira Foundation when applying for funding which will allow us to assist more families.

Necessary File Uploads

Signatures

All legal parents or guardians must sign below.
Liability Disclaimer: I hereby release, indemnify and hold harmless The Carlos Vieira Foundation for any injury or accident that may occur, and I will assume all liability in connection with an injury (including any injury caused by negligence) that may occur with any of the awarded items associated with this Direct Grant program. By signing below, I understand and agree to these conditions.
ESPAÑOL

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