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Search for:
About
Areas of Support
Emotional
Financial
Physical
Booster Club Membership
Gallery
Donate
Events
View Events
Calendar of Events
Race Home
Register
49in49huddle
Commissioners and Team Captains
Upload Results
Gallery
FAQs
News
Contact
Get Assistance
Resources
Apply for Assistance
DONATE
facebook
twitter
instagram
About
Areas of Support
Emotional
Financial
Physical
Booster Club Membership
Gallery
Donate
Events
View Events
Calendar of Events
Race Home
Register
49in49huddle
Commissioners and Team Captains
Upload Results
Gallery
FAQs
News
Contact
Get Assistance
Resources
Apply for Assistance
DONATE
facebook
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instagram
Apply for Assistance
AlexWatson
2020-09-14T01:08:09+00:00
APPLICATION FOR FREE ASSISTANCE
The Golden Heart Fund (the “Organization”) is a nonprofit public benefit corporation organized under the laws of the State of California. The purpose of the Organization is to raise funds to provide relief to disadvantaged and distressed former San Francisco 49er football players and their families nationwide, including but not limited to the support and funding for mental and physical health, disaster recovery, or other personal financial hardship. The organization’s specific activities are described more specifically below.
Name
*
First Name
Last Name
Address
*
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Years with 49ers
*
Each Applicant for assistance will be required to describe the expenses for which the Applicant needs assistance, the circumstances necessitating the aid requested, and the other resources that are available to the Applicant. The Applicant will also need to certify that all of the information included in the grant application is accurate.
What assistance are you seeking?
*
What amount is being requested?
*
What are the circumstances necessitating the aid requested?
*
What are the other resources available to you?
*
Have you applied for assistance from the NFL Player Care Foundation?
*
Check if any of these apply to you:
Are you currently unable to afford the requested relief?
Do you certify that the foregoing information you have provided is accurate?
Do you consent to your application information being shared with the San Francisco x Alumni Department?
Additional Information
Individuals, or others on behalf of incapacitated or deceased individuals (the "Applicant") may apply for funding through a grant application. All grants shall be made on an objective and non-discriminatory basis without regard to race, gender, color, creed, religion, sexual orientation, national origin, age or disability. Unless there are extenuating circumstances whereupon the Applicant will be required to certify or provide proof of the use of funds, payments shall be made directly to third parties providing care to, rather than directly to, individual recipients.
ALL GRANT APPLICATIONS WILL BE CONSIDERED ON A CASE-BY-CASE BASIS BY ADHERING WITH THE FOLLOWING ELIGIBILITY GUIDELINES:
Applicant must be a former San Francisco 49ers football player with at least one complete credited season of play; widows, children or other family members of incapacitated or deceased former San Francisco 49ers players who would otherwise be eligible for a grant, may also apply;
Applicant must meet certain financial qualifications;
Applicant who has received assistance in the past may reapply for assistance, but will not be given priority assistance over others who have not previously received a grant.
THE ORGANIZATION WILL OFFER FINANCIAL ASSISTANCE TO APPLICANTS SEEKING RELIEF IN SITUATIONS THAT MAY REQUIRE, BUT ARE NOT LIMITED TO, THE FOLLOWING:
Basic living expenses, including transportation and utilities;
Shelter and housing, including rental and mortgage assistance, and assisted living facilities fees and expenses;
Mental health inpatient or outpatient treatment;
Ongoing quality of life expenses such as prescription drugs, medical equipment and supplies, nursing care, and medical treatment;
Medically-necessary surgeries and related post-operative rehabilitation, including incidental fees and expenses;
Funeral expenses.
The Organization will not support financial assistance for alimony, taxes, child support, tuition assistance, or luxury items. The number of grants will be determined based on the Organization's annual budget and the amount of the grants, as determined by the Board. Once an application has been received, it will be reviewed by the Selection Committee. The Applicant will be notified if further information is needed or whether the grant has been approved. Further, the Organization's Directors, Officers, employees, and their family members are not eligible to receive any grant awards from the Organization.
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