• Matts Place Main Bg

Request for Assistance

Name of ALS patient*
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Date Of Diagnosis*

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Alternate Contact Info and Relationship*
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Address: Street*
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Phone Number*
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Email*
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City, State, Zip*
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Are you a veteran?*
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Have you applied for VA benefits?*
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Funds being requested for*

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Date of request*

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Estimated Cost*
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Please attach estimate*
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Contractor's Name*
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Contractor's Phone*
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Have you verified that the contractor is licensed, bonded and insured?*
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Please List organization and amount*
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Will this project proceed with or without funding from Matt’s Place Foundation?*
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A condition of grant approval is allowing Matt’s Place Foundation to use the name of the recipient (first name/last initial acceptable), project information/cost, and project photographs for promotional material.  If your grant is approved, do you expressly authorize Matt’s Place Foundation to use your name, project information and photographs for future internet and print promotional materials?   The information contained in this application is for internal foundation purposes only.
Founded in 2015, Matt’s Place Foundation is a 501(c)(3)  charitable organization created to assist PALS (People with ALS) and their families during their battle with ALS. Its ultimate intention is to provide hope, housing and assistance to families dealing with the ailments of motor neuron disease like ALS, including Parkinson's and SMA. We hope to raise funds through sales of Matt’s Place Merchandise, fundraising events, and also by accepting cash and in-kind donation which will be used for the resources, technology and assistive items PALS may need. Through collaborating with other ALS foundations and like-minded organizations, we also hope to bring greater awareness to ALS, and the need for better treatment options and at some point a cure.
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  • Ettienne De Grellet

    "I expect to pass through this world but once. Any good thing, therefore, that I can do, or any kindness that I can show to any fellow creature, let me do it now. Let me not defer or neglect it for I shall not pass this way again."

    Ettienne De Grellet

  • Matt Wild

    If anyone is going to beat ALS, it might as well be a marine!

    Matt Wild

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About Matt's Place

Founded in 2015, Matt’s Place Foundation is a 501(c)(3) charitable organization created to assist PALS (People with ALS) and their families during their battle with ALS. Its ultimate intention is to provide hope, housing and assistance to families dealing with the ailments of motor neuron disease like ALS, including Parkinson's and SMA.

Latest Updates On Our House Project

Matt's Place Foundation Inc.

PO Box 3673, Coeur d Alene, ID 83816 USA