Eligibility: The person benefiting from the financial assistance must have Down syndrome and must be a resident of Montana. Please provide verification of diagnosis.
All expenses must be documented and not covered by insurance or any other funding source. Insurance premiums are not eligible.
Expenses eligible for financial assistance must have been accrued in the past 6 months or must be for future expenses that are documented by source and amount of the expense.
Areas Eligible for Assistance:
Applications should be submitted in a timely manner to give board members enough time to meet and consider applications. Board members meet monthly.
Please fill in all of the information requested and please include receipts·or any documentation from the provider for all expenses for which you are applying for funding.
If applicable, please fill in the Service or Program Information:
I certify that all of the above information is true and correct to the best of my knowledge. I understand that false or misleading information may be grounds for rejection of my application.
I understand that this application does not guarantee financial assistance from the Montana Down Syndrome Association. I understand that if l am awarded monetary assistance that all money may be sent directly to the organization providing the services and that it will not be available to me for refund or reimbursement.
I release the Montana Down Syndrome Association from any harm or negative consequences that may result from activities for which the monetary assistance was provided. I understand that the Montana Down Syndrome Association has no control over or direct involvement with the organizations that may be providing services and programs.
SIGN BELOW TO INDICATE THAT YOU HAVE READ AND AGREE TO THE ABOVE:
The Logan Charles Award is an award to honor our special education teachers and paraprofessionals who enrich the lives of our children who live with Down syndrome. These individuals work throughout the school year helping our children learn their way, at their pace and in a way that benefits them as individuals, helping them to become self-sufficient, as well as helping them enjoy all social aspects of school.
The Logan Charles Award is named after Logan Charles, an 18-year-old Big Sky High School student who was called back to heaven on February 12, 2017. Logan participated in Special Olympics basketball, track, and soccer programs. Logan loved unconditionally and was one of the kindest souls you would ever meet. He touched everyone’s heart that he met. Logan and his father, Brent, had the most amazing father-son relationship, one that every father should strive to attain. Logan joined his mother, Carla, in heaven but leaves behind his father Brent, mother Mickenzie and his sister, his true love, Priscilla.
To be eligible to receive this award, the nominee must be a Montana special education teacher or paraprofessional who enriched the life of a Montana individual with Down syndrome.
The recipient will receive a plaque and a monetary award. The award will be presented during the Missoula Buddy Walk, which is held on the last Sunday of September.
NOMINATOR
NOMINEE
Fill out the form below to help with the Buddy Walk event!
