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:
P.O. Box 51028
Phoenix, Arizona 85076-1028
Or you may send them electronically via email: firstname.lastname@example.org
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 – 20th of April 2018. If there is a qualified applicant, the gift of $1500 will be announced by the 30th of the April 2018.