Application for Financial Assistance

To inquire about funding for equipment needs, please fill out the following form. To request a paper copy of this form- please contact Ainsley Tolman at or 316-652-1582.

    One of the Equipment Fund’s primary funders is now requesting that we collect information on race and ethnicity. This will not affect the services you receive. This information is confidential, and no personal identification will be shared.
  • Max. file size: 8 MB.
  • MM slash DD slash YYYY