Mission Statement:  It is Open Hands’ intention to support:

  • people who are challenged by a life situation, or by  illness or old age
  • the care of the health care professional
  • the activities of volunteers
  • education and research in related areas

Standard Application Form




Telephone Numbers(s):

E-Mail Address:

Contact Person:

Description of Need or Project:



Time Frame for Completion:

Financial Need Estimate:


Board Notes:


Responses from board members:

Email applications to

Downloadable copies of the application can be found below:

Open Hands Application in Word format – downloadable for completion on your computer, may be sent as an attachment via e-mail

Open Hands Application in pdf format – may be printed, completed by hand and mailed to Open Hands at the address above.