NEW APPLICATIONS MAY BE SUBMITTED ANYTIME
APPLICATION INSTRUCTIONS
DEFINITIONS:
For purposes of this application, a caregiver applying for the mini-grant will be considered the “applicant.” As funding is intended to help with caring for someone with Alzheimer’s disease or related dementia (ADRD). The person living with ADRD will be considered the “recipient.”
FUNDING:
Mini-grants are typically limited in range, $250-$1,500 per request. If you previously received a grant, you must wait a year before applying for another grant.
EXAMPLE GRANT REQUESTS:
Below are representative examples of targeted funding priorities (alternative requests of a similar nature may also be considered): • Small scope home renovations (e.g. door locks, alarms, Ring doorbell) • Time-limited respite, home care, or counseling •
REQUIRED DOCUMENTATION:
1. Contact information for applicant (Mississippi resident and caregiver)
2. Contact information for recipient (person living with ADRD)
3. Physician letter or medical record documenting dementia diagnosis (recipient)
4. Brief description of mini-grant request (what the funds will be used for)
5. Estimated cost of the project or service
GRANT APPLICATION FORM:
The application is available via PDF file. Complete and SIGN the form.
Remember to include the required supplemental documentation (see above). Grant application may be sent in via regular mail or email. For questions, our contact information and mailing address is listed at the bottom of this page.
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FREQUENTLY ASKED QUESTIONS
Can the grant applicant reside elsewhere if the recipient resides within Mississippi?
Yes; as long as the project or services are delivered within Mississippi.
Is a doctor letter or copy of a medical record really necessary?
Yes; the fund is obligated to verify that grant recipient does have Alzheimer's disease or related dementia (ADRD) syndrome and that the grant request directly relates to the care associated with that diagnosis.
What is considered acceptable documentation to verify diagnosis?
A simple letter from your doctor stating that recipient has a dementia diagnosis. Alternative documents may include a hospital discharge summary or a copy of an office note/visit that shows person is being treated for ADRD.
When will I know if my application has been accepted and when will I receive the money?
All applications go through a thorough review process. You will be contacted by our grants committee. Applicants will not directly receive the funds. Grants are distributed throughout the year.
Who is going to complete my project or service request?
We can assist with vendor recommendations for service requests. Funding must be paid to a licensed company and cannot be paid directly to a family member.
How can someone donate to disentangleAD?
Make check payable to the Pinebelt Foundation (include disentangleAD on the memo line).
Send to: Pinebelt Foundation, 1501 Adeline Street, Hattiesburg, MS 39401.
For questions regarding Pinebelt Foundation call 601-583-6180, or visit pinebeltfoundation.org.
Is anything not covered by this type of grant?
Grant requests for medical expenses, prescriptions, or medical equipment (e.g. wheelchairs, hospital beds) will typically not be considered for funding