Download - "Jacks Dollars" Scholarship Application
Download - "Jacks Dollars" Scholarship Peer Partner Application

JACK’S PLACE FOR AUTISM
“JACK’S DOLLARS” SCHOLARSHIP GUIDELINES

Dear Applicant,

Jack’s Place for Autism is dedicated to providing support, education, compassion and a comprehensive array of services to help families cope with the everyday challenges of autism.

Jack’s Place for Autism has created “Jack’s Dollars”, a Scholarship Program to help families afford the support they need for a variety of programs. Jack’s Dollar’s Scholarships will be awarded based on the following criteria:

• “Jack’s Dollars” available for the following types of programs:
• Recreation, Sports
• Hobbies
• Crafts
• Music
• Art
• Dance
• Families must reside in Michigan
• “Jack’s Dollars” will be allocated on a first come first serve basis (Postmark will determine)
• Completed applications (“Jack’s Dollars & Program/Camp for which you are requesting funds) must be received at least 3 weeks prior to the program start date
• Provider of program or camp (organization, institution, foundation, school, etc.) must be licensed and insured
• Applicants must  provide Jack’s Place for Autism verification of diagnosis from treating physician/s or current IEP   (Individualized Education Plan)
• Sibling or peer partner may apply for compliment program, where sibling or peer partner supports or assists individual with Autism Spectrum Disorder at program/or camp
• Jack’s Place will provide 80% of the cost of the program(s) up to a maximum of $400 per calendar year per individual. Calendar year is January 1st to December 31st. (Note: Excluded fees: Registration, enrollment or assessment.)
• Please take note of our payment options (on application)
• Please note that there is no age restriction for applicant.  Our goal is to serve all individuals with Autism Spectrum Disorder
• Jack’s Place for Autism reserves the right to contact program providers
• Upon completion of program, applicant will receive a survey.  Response is required for consideration of future funding
•  If program is cancelled for any reason-Jack’s Place for Autism expects that due diligence will be applied and any monies refunded will be returned to Jack’s Place for Autism
• If for any reason individual begins program and does not complete program, please notify Jack’s Place for Autism immediately in order to be considered for future funding

On behalf of Jack’s Place for Autism thank you for your application for “Jack’s Dollars”.  We look forward to your survey with comments regarding your program experience.