Application Check List

  • Child Story and Medical Information

  • Parent/Guardian and Family Information

  • Promotional & Marketing Photograph Release

  • Copy of bills

  • Ensure all sheets are signed and dated

Link to apply here

Grant Application Information

Fill out the application and upload it. Your application will be reviewed, an application liaison will work with you throughout the application and financial assistance process. If there is any missing information in your application, your application will be put on hold until all the information is received and the application is complete. Please use the check list as a guide to make sure your application is complete. We also require a thank you letter that we can send to our donors after your application has been approved.


JEGH does not pay the applicant directly. Any bills that are considered for payment are paid directly to the provider.


© 2016 by Jason's Ever-Giving Heart

Call Us: 970-683-0180   2107 36th Street Court Evans, CO 80620

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