2025–2026 Grant Program · Up to $2,000

Caregiver Grant Application

Supporting family caregivers of those with dementia in the greater Lansing area.

Application Submitted!

Thank you for applying. The GLCF team has been notified and will review your application. You can expect to hear back within 2–3 weeks.

If you have questions in the meantime, please contact us.

Return to the GLCF website

Caregiver Information

Total Grant Funding Requested Maximum $2,000

Your Full Name *

Street Address

City

State

ZIP Code

Your Date of Birth

Phone Number *

Email Address *

Your Relationship to the Person You Care For *

About the Person You Care For

Their Full Name *

Their Date of Birth

Diagnosis * e.g., Alzheimer's, dementia, Parkinson's

Date of Diagnosis *

Current Living Situation *

In my home (the caregiver's home) In their own home Assisted living / nursing home Other

How Will You Use the Grant?

Additional details (optional)

Statement of Need * Describe in detail your caregiving responsibilities, the emotional and financial impact on you and your family, and how this grant will help.

Financial Information

Annual Household Income

People in Household

Are you currently receiving other financial assistance?

Yes No

Please describe the assistance you receive

Caregiver Questionnaire

Please respond to each statement below based on your current experience as a caregiver. For each item, choose the option that best reflects how much you agree or disagree. There are no right or wrong answers — please answer as honestly as possible so we can best understand your situation.

This questionnaire needs JavaScript enabled. If you cannot enable it, please call us on 517-657-3155 and we will complete the application with you over the phone.

Certification & Signature

By checking the box below, I certify that all information provided in this application is true and accurate to the best of my knowledge. I understand that submitting false information may disqualify my application and that the Greater Lansing Care Foundation may request supporting documentation.

I certify that the information I have provided is true and accurate. *

After submitting, our team will review your application and be in touch within 2–3 weeks.