Grant Application for Individual or Family

Grant Program

The mission of The Randy Schopen Foundation is to “Give someone a chance.”

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.

Grant Policies (With Very Limited Exceptions)

One (1) grant per household per year.
Two (2) grants in a lifetime.
Applicant must be a Jefferson County, WI resident.

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

The Randy Schopen Memorial Foundation Inc. reserves the right to accept or deny any or all grant requests at the sole discretion of The Randy Schpoen Foundation Grant Committee.

Additional Resources

The Randy Schopen Foundation has compiled a list of other resources that might be helpful for Jefferson County Residents facing hardships. Before applying, please review the list of resources to see if they may be able to help with your situation.

Additional Resources

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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*
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
- Other
List All Other Sources Of Assistance
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 a grant. Please explain the situation that has caused the need for this grant.*
The more detail you can provide the greater likelihood of grant approval.
Explain in detail how the grant money would be used.*
Explain how you came to the amount you are requesting. List each expense if there are more than one and the exact amount of each expense.
Do you have any dependents? If so, explain.*
Do you have any other sources of income? If so, explain.*
List each income source and how much you receive in income each month for each source.
Why should The Randy Schopen Foundation award you a grant?*
Have you or your family received help from the Randy Schopen Foundation previously?*
- Yes
- No
Date & Amount of Grant Received:
Please Provide a Professional Non-Family, Non-Friend Character Reference:*
Character Reference Name:
Character Reference Contact Information:*
Character Reference Contact Information:
Relationship to Character Reference:*
Relationship to Character Reference:
Letter of Recommendation
Please provide a Letter of Recommendation from a Professional, Non-Family, Non-Friend Character Reference for any Grant Requests over $1,000.00.
Max. file size: 16 MB.
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Grant Committee Fields
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Date Approved
MM slash DD slash YYYY
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Amount Approved
Hidden
Paid From

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

Grant Program

Additional Resources

Jefferson County Christmas Neighbors

Application

Contact Information

Proposal

Grant Committee Fields

Memories

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