Apply For a Grant

The Ethan M. Lindberg Foundation offers grants to families who travel to Boston Children’s Hospital for cardiac care. Grants are focused on families with frequent or long stays. You may apply for a grant here or go through your social worker. 

Grant Application Form

Patient Name *
Patient Name
Parents Name *
Parents Name
Phone *
Phone
Current Address *
Current Address
Are You a Mom or a Dad?
The name of your home hospital.
$
Are You Currently an Inpatient?
$
Do you Rent or Own your home? *
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Have you applied for or recieved aid from other organizations? *
What Type of Grant would be most helpful?
By "Checking" the box below, you agree that all of the information you have provided is true *

We offer grants to qualified families for inpatient expenses once a family has been inpatient for at least three weeks. Prior to the three week mark we will consider grants for travel to Boston for families that qualify.

*The undersigned (and on behalf of the patient) authorizes the Ethan Lindberg Foundation, Inc. (“Foundation”) to use the information in this application to process the grant request and determine the availability of Foundation and non-Foundation programs and services for the benefit of the patient and family.  This consents allows and releases the Foundation from HIPAA and related medical and non-medical privacy related disclosure requirements.