Aging Grants Application

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Revised March 4, 2026
Friends 60 years or older in financial need may apply for grants to assist with basic needs or to make it possible to live in communities, or to remain in their own homes.
To be eligible for a grant, you must have less than 6 months of expenses in liquid assets.
(E.g. if my monthly expenses are $10,000, then I am eligible to apply if my total liquid assets are $60,000 or less.)
Your data is exclusively used for your aging grant application. It will not be shared.
If questions arise while completing this application, please contact Sheila Sorkin, Aging Support Coordinator, at ssorkin@pym.org or grants@pym.org.



Submitter Contact Information








Applicant Information





Residence Mailing Address




Residence Information









Request Information




Please have your clerk email grants@pym.org to acknowledge your application.

Applicant's Monthly Income (Please round to the nearest whole number, e.g., 1652. Do not include commas or other punctuation.)


























Liquid Assets (Please round to the nearest whole number, e.g. 1652. Do not include punctuation marks such as commas or periods.)










Applicant's Monthly Expenses (Please round to the nearest whole number. e.g. 1652. Do not include punctuation marks such as commas or periods.)


Include property taxes and insurance, if applicable.







Gas, Electric, Water



(Co-pays, supplies, medicine)





Please include car payments, gas, tolls, and other monthly expenses.





Ongoing Debt






Documentation











Care Coordinator




Financial Power of Attorney






If you did not upload your financial POA, please send a copy to grants@pym.org when complete.

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