Apply today

The application period begins at midnight EST on August 6, 2023 and runs until 11:59pm EST on October 8, 2023.

REQUIREMENTS:
Applicants must be 18 at the time the application is submitted
Applicants must establish financial need
All procedures have to be completed within 12 months and must be completed within the United States
Applicants must identify as transgender/non binary. The focus alternates each year (Trans Masc even years and Trans Femme odd years)
The application period runs from August 6th until October 6th and the winner will be announced on November 21st

YOUR INFORMATION

First name*

Last name*

Address Line *

City*

State*

Postal Code*

Email*

Phone*

Gender Identity*

Pronouns*

Ethnicity*

Current Housing*

Current Employment*

Any Health Issues*

Age*

I agree to terms and agreements.

SHORT ANSWER 1

Please tell us about your journey to this point. What experiences have contributed to you becoming the person you are today? We would love to hear about the highs and the lows. (800 character limit)?*

SHORT ANSWER 2

Help us understand your financial situation. Our goal is to partner with the winner to ensure their procedure is 100% funded. We are here to help fill the gaps. Keep in mind our average award to date has been between $2,000-$5,000. The more information you have the better. If you have health insurance have you checked to see what they cover and what your portion would be? How much have you saved and what actions have you taken towards raising funds? (800 character limit)*
‍

SHORT ANSWER 3

Have you chosen a provider/surgeon? If so who and what are the cost involved for your procedure?

SHORT ANSWER 4

What is your plan for recovery? (800 character limit)

SHORT ANSWER 5

Where will you be staying and who will be assisting you? (800 character limit)

SHORT ANSWER 6

What are your plans for the future? (800 character limit)

SUBMIT YOUR APPLICATION

By submitting you agreeing to our terms and agreements.

Thank you! Your submission has been received!

Something went wrong please check your details.