Aging Grants Application

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Revised August 11, 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, the applicant 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





Renewing Applicants
Submitting this application will help granting group members adjust your grant level if needed.

If the current grant level is sufficient to meet your needs, and your income and expenses have not changed, then you will not need to enter your budget information to submit this form.



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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