Restoring Hope & Peace Grant Application * indicates Mandatory fields. You must fill them out to submit your application. Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Applicant's date of birth* MM slash DD slash YYYY Loved One's date of death* MM slash DD slash YYYY Loved One cause of death*Social media profile link*Please copy and paste your link to be verified. Do you have children?* Yes No List the ages of your children*Are you an active member in our Hope for Widows private Facebook group?*(Name of Group: Hope for Widows-Secret Group for Women Only) Note: You will still be considered if not, but we would love for you to join us! Yes No Loved One's obituary, newspaper obituary or remembrance material. (example: Life of Celebration/Funeral service announcement)*Please choose one of the following options to submit the obituary. Example: Life of Celebration/Funeral service announcement. You can add in the link or upload the obituary. Link Photo Link to loved one's obituary or newspaper obituary*Please add link or upload a photo below. Upload Photo of ObituaryMax. file size: 50 MB.Share your written story on how Hope For Widows Foundation has helped you restore hope and peace in your grief journey.*PLEASE SUBMIT ONE PARAGRAPH- MINIMUM 200 WORDS- 5-7 SENTENCES. MUST BE COMPLETED AS DIRECTED OR APPLICATION WILL NOT BE CONSIDERED.If awarded, how would you use the Restoring Hope & Peace Grant? Please explain in 3–5 sentences.*NOT ONE WORD OR ONE SENTENCE PLEASE FOLLOW DIRECTIONS OF 3-5 SENTENCESLike or follow us on at least one of our social media platforms*Check all those completed- will be verified Facebook Page: https://www.facebook.com/hope4widows/ Instagram: https://www.instagram.com/hopeforwidows/ LinkedIn: https://www.linkedin.com/in/hope4widows/ Twitter: https://twitter.com/Hope4Widows YouTube: https://www.youtube.com/channel/UCRZjAr1U71lDcatE3sAt6Zg Media Permissions* Personal Information is confidential however, we reserve the right to use pictures, testimonials, videos and/or stories on our website and social media platform(s). Δ
