Gia Nicole Angel Foundation

• Application •

The mission of the Gia Nicole Angel Foundation is to enhance the daily functioning of a child with special needs and his/her family by awarding assistance through the purchase of a specific item or items. We classify special needs as those children with any type of physical disability (such as, but not limited to, spina bifida, paralysis, missing limbs) or illness (such as, but not limited to, cerebral palsy, multiple sclerosis, cancer).

Funds are awarded on a case by case basis with preference given to lower income and single parent families. Families who wish to receive assistance must complete an application and demonstrate financial need.  Applications are accepted at any time.

The foundation reserves the right to decline any application and/or ask for any additional information regarding the application.  Applications on hold will be re-evaluated after 12 months.

Download the application or complete the form below.

  • Proof of child's disability in the form of a letter from the child's physician or school on official letterhead is required with application. Further documentation may be required at the discretion of the board. Please scan and e-mail supporting documentation to ArtCarte@aol.com or fax to 215-542-9996. Applications must be complete before they can be considered.

By submitting this form you hereby consent to the use of any pictures of applicant or any references to her/him in any media advertising promoting the Gia Nicole Angel Foundation.