COMMUNITY MEMBERSHIP APPLICATION

COMMUNITY MEMBERSHIP APPLICATION TERMS + INSTRUCTIONS

All information is requested for the sole purpose of applying for a Community Membership at Breathing Room. Membership grants are awarded on a rolling basis by our Advisory Board - a small group of dedicated staff who volunteer their time.

The information you share here is strictly confidential. We respect you and your privacy. This information will not be shared or disclosed to anyone outside the Advisory Board in any manner, under any circumstance.

Please share as much information as possible via the form, including the requested documents - this will allow us to review your application quickly.

Proof of income/employment (or lack thereof) is required for the Advisory Board to make a final determination. IF You are receiving services from a local nonprofit agency, we also accept official and dated letters of determination as proof of need.

It’s important to note that Community Memberships are provided based on Breathing Room’s financial ability to do so. While we strive to provide as many Community Memberships as possible each month, we cannot guarantee that an application will result in a grant.

Thank you for being part of our community. We look forward to seeing you in the studio!