New West Haven Assisted Living Grant Application

We Are Looking For Your Deserving Story And Want To Help!

New West Haven is excited to announce that it has partnered with Senior Assist and is offering a merit based assisted living grant of up to $25,000. The grant can be used towards living accommodations at New West Haven including assistance with activities of daily living, meals, medication management, and group activities.

Applying is fast and easy. Nominate yourself, someone else, or forward to a friend. Simply take a minute and tell us your story by January 31, 2015, and we will contact you by February 28 with the results.  For additional details, please view the Terms and Conditions.

Nominee Submission Form

Your Name (required)

Your Email (required)

Your Phone Number (required)

Prospective Recipient's Name (required)

Prospective Recipient's Gender (required)

Prospective Recipient's Age (required)

Family's Max Monthly Contribution Towards Care (required)

Your Story - Please Briefly Tell Us About Applicant's Need (required)

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