Grant Application for Individual or Family

Grant Program

Grants will be provided to individuals or families in need through the application process on the Randy Schopen Website. The Foundation reserves the right to accept or deny any applications based on internal criteria that the Foundation so deems. Amounts granted will be at the sole discretion of the Foundation, depending on the need and number of applications received. Typically, the Foundation’s mission is to continue to support purposes that Randy Schopen would have supported.

Consideration for Preference

Applications will be considered for all of those in need. Preference will be given to those that meet the following criteria:

Individuals or businesses in the Jefferson Community Foundation service area, specifically Jefferson County.
Those that have been displaced or lost employment in the service sector. Particularly those that have worked in the restaurant and bar business.
Families with children under 18 years of age.
Senior Citizens or individuals with special health needs. The application process will have the option for the applicant to request funds confidentially for those with personal needs.

Grant Policies (With Limited Exceptions)

1 Grant Per Individual/Family Per 12 Month Period
2 Grants Lifetime

Further questions and grant consideration requests can be addressed to Greg Schopen @ 715-966-5061 / [email protected].

The Randy Schopen Memorial Foundation, JCF reserves the right to accept or deny any or all grant requests at the sole discretion of the RSMF JCF committee.

Jefferson County Christmas Neighbors
If you or the family you are applying for need help with toys, mittens or food this holiday season, please reach out to Jefferson County Christmas Neighbors by calling 920-674-4499 (http://christmasneighbors.org/apply.html). The Christmas Neighbors Application deadline is December 4th, 2023.
Application
Contact Information
I am applying for:*
- Myself or My Family
- For Another Individual or Family
Contact Person's Name & Title:*
Name of Individual or Family Applying For:*
Phone:*
Email Address:*
Address of Individual/Family:*
IMPORTANT: A physical address is required. A PO Box may not be used.
Street Address Address Line 2 City State ZIP Code
How Long At Above Address?*
Employer's Name & City:*
Enter N/A if not currently employed
Full-Time or Part-Time:
Spouse/Partner/Roommate's Name:*
Enter N/A if not Applicable
Employer Name & City:*
Enter N/A if not Applicable
Full-Time or Part-Time:
Number of Minor Children Living with You & Ages:*
Enter N/A if not Applicable
Number of People Living in the Residence:*
Enter N/A if not Applicable
Check any Assistance Currently Receiving:*
- WIC
- W-2
- Badger Care
- Food Share
- Salvation Army
- CAC
- Food Pantry
- CART
- Unemployment
- None
Proposal
Consent
I request my application be personal and confidential and not shared with anyone other than the Randy Schopen Foundation Grant Approval Committee.
Amount of This Request $*
Date Funds are Needed By:*
Explanation of need for request. Please explain the situation that has caused the need for this grant including employment status and/or loss of income.*
The more detail you can provide the greater likelihood of grant approval.
Do you have any dependents? If so, explain.*
Do you have any other sources of income? If so, explain.*
Have you or your family received help from the Randy Schopen Foundation previously?*
- Yes
- No
Date & Amount of Grant Received:
Please Provide a Non-Family Character Reference:*
Character Reference Name:
Character Reference Contact Information:*
Character Reference Contact Information:
Relationship to Character Reference:*
Relationship to Character Reference:
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Grant Committee Fields
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Date Approved
MM slash DD slash YYYY
Hidden
Amount Approved
Hidden
Paid From
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Memories

"How could one person make such an impact on others in 61 short years? Randy's stories will live forever."

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Grant Application for Individual or Family

Jefferson County Christmas Neighbors

Application

Contact Information

Proposal

Grant Committee Fields

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Memories

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