STRIPE ASSISTANCE

Charitable Giving for Trisomy 18 Families

The E.WE Foundation is excited to offer STRIPE, a charitable giving program for Trisomy 18 families in need of assistance. The support we provide is designed to alleviate some of the social burdens associated with a Trisomy 18 diagnosis. While our program offers a spectrum of financial sponsorships, we want to emphasize that our commitment extends beyond monetary assistance. Within our organization, we offer various programs aimed at providing holistic support, which may include educational resources, counseling services, support groups, and more.

In a commitment to broaden the availability of financial resources, we proudly partner with Help Hope Live, a trusted medical fundraising nonprofit supporting rare disease communities nationwide. Help Hope Live is an expert in fundraising, offering personalized assistance to ensure tax-deductible donations for donors while safeguarding your family’s benefits. Visit Help Hope Live to learn more.

We recognize the incredible strength and resilience of the families in our Trisomy 18 community, and our charitable giving program is a reflection of our shared commitment to making a positive impact on their lives. It is our hope that, through this support, families can find comfort and relief during their journey with Trisomy 18.

Requesting Assistance

If you have an infant or child diagnosed with Trisomy 18 and your family is in need of support, you may apply for assistance. Please complete the form below. Answer all questions truthfully.

Waiting Period Policy for Financial Request: Families applying to STRIPE for financial assistance must observe a 12-month waiting period between each application. This waiting period helps ensure equitable distribution of available funds and allows for an updated assessment of each family’s circumstances. We appreciate your understanding and cooperation in adhering to this guideline.

STRIPE Assistance Request for Trisomy 18 Infants, Children, and their Families

If NO, stop here. Our STRIPE charitable giving program is only available to infants and children with Trisomy 18 and their families.

Please note that certain requested information will require verification to ensure the accuracy and completeness of your application. We appreciate your cooperation and understanding as we work towards providing the assistance you need.

Personal Information

Demographic Information

We collect demographic information to ensure equitable access to healthcare services and to identify any potential health disparities among different population groups. This information helps us tailor our healthcare interventions and programs to address unique needs, ensure inclusivity, and work towards eliminating any potential disparities in access to care.

Total Family Size (you, your spouse/partner, dependent children, and any other individuals who reside with you)(required)

Insurance Coverage (check all that apply)(required)

Medical Information

Assistance Request

*Requires an infant or child living with a Trisomy 18 diagnosis.

What kind of assistance are you requesting? You may check multiple responses.(required)

I hereby acknowledge that the information provided in this application is true and accurate to the best of my knowledge. I understand that any assistance provided by the E.WE Foundation’s STRIPE program will be determined based on the information provided herein and some items may be subject to verification.

Your privacy is a our priority. The E.WE Foundation will never share your information without your consent. Please email stripe@theewefoundation.org with questions about this form. Review our privacy policy here.

STRIPE Assistance – Required Documents
Financial Disbursement Authorization