Notice of Intent to Issue Gift

Thank you for your application to Willow Wish. We are dedicated to supporting the human and civil rights of women to choose a birth place supported by best evidence regardless of their ability to pay. If you would like to apply for a $1500 gift that will be paid to the accredited Arizona birth center of your choice, please complete the following:

• Application Form - Willow Wish Gift Application
• Personal Essay, Video, or Voice Recording:
  • Why Willow Wish should grant me/us this gift
• A copy of your two most recent income tax statements
• If applicable: proof of enrollment in AHCCCS
• Release of Liability - Willow Wish Recipient Waiver

Once you have completed all these documents/recordings, please send them via regular mail to: Willow Wish P.O. Box 51028 Phoenix, Arizona 85076-1028 Or you may send them electronically via email: willowwishaz@gmail.com Willow Wish reserves the right to change these terms and conditions of our application process at any time.  By submitting for a gift, you understand that your application packet will be reviewed by our scholarship committee. Applications for this gift period will be accepted from the 1st – 20^th of April 2018.  If there is a qualified applicant, the gift of $1500 will be announced by the 30^th of the April 2018.