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:
- Willow Wish August 2018 Application
- Personal Essay, Video, or Voice Recording:
- Why Willow Wish should grant me/us this gift
- A copy of the two most recent income tax statements for tax years 2018 and 2017 Must be submitted by the mother and her partner
- If applicable: proof of enrollment in AHCCCS
- Willow Wish Recipient Waiver