Funding Request Form

If you are an adult (18+) with an intellectual or developmental disability (IDD) or a caregiver/family member of an individual with IDD who is need of funding, please fill out the form below.

Resource requests categories can include:

• Coaching (job coaching, interviewing, financial, life skills, communication, college/career, independent living, relationships, etc.)
• Continuing education or certifications
• Social skills development or peer groups
• Transportation support
• Professional attire or workplace accommodations
• Employment and job skills
• Entrepreneurship support
• Technology
• Arts and crafts
• See more examples at iddeate.org

For a limited time only, automatically receive $50 towards your first request on iddeate by signing up below!

- Step 1 of 5

You must review and confirm both boxes to be eligible to use iddeate. *

• I confirm that I am at least 18 years of age.
• I confirm that I can provide documentation of an intellectual or developmental disability for yourself or for a friend, family member, or client.

Are you *

• Completing this form for yourself
• Completing this form for a family member, friend, or client

Next

Your Information

Please provide some basic information.

Name *

First

Last

Preferred Prefix *Mr.Ms.Mrs.Mx.

Email *

Phone *

Your Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Please note: We are currently only accepting requests for permanent residents of the states of Colorado, New Jersey, and Ohio.

Date of birth *

Documentation of Diagnosis *

Click or drag a file to this area to upload.

iddeate was created to support people with intellectual and developmental disabilities (IDD). Please provide documentation that identifies this individual as a person with IDD. Accepted forms of documentation might include one of the following: IEP report or school report documentation, official diagnosis, prescription note, proof of eligibility for state or Federal disability benefits, or other related documentation.

Do you require additional assistance or accessibility supports to use iddeate? If so, please describe.

Referral Code

If you were provided a referral code by your service provider, please enter it here.

Completing on behalf of a Friend, Family Member, or Client

Please provide your name, title, and role in the friend, family member, or client's life for whom you're submitting this request.

Your Name *

First

Last

Your Role & Organization *

Your Email *

Your Phone *

Individual's Name *

First

Last

(Individual you are requesting resources on behalf of)

Preferred Prefix (Individual) *Mr.Ms.Mrs.Mx.

Individual's Phone Number:

Individual's Email:

Individual's Date of Birth *

Individual's Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Please note: We are currently only accepting requests for permanent residents of the states of Colorado, New Jersey, and Ohio.

Documentation of Diagnosis *

Click or drag a file to this area to upload.

iddeate was created to support people with intellectual and developmental disabilities (IDD). Please provide documentation that identifies this individual as a person with IDD. Accepted forms of documentation might include one of the following: IEP report or school report documentation, official diagnosis, prescription note, proof of eligibility for state or Federal disability benefits, or other related documentation.

Does this individual require additional assistance or accessibility supports to use iddeate? If so, please describe.

Referral Code

If you are a service provider and have a referral code, please enter it here.

Next

Tell Us More About You

Please answer the below questions to tell us a little bit more about yourself.

Please note: this information may be used on your public resource request.

What is your dream job or what would you like to do for employment or volunteer work? *

What are your hobbies? *

What is one accomplishment that you're most proud of? *

What is one accomplishment that you want to achieve? *

What is one fun fact about you? *

If fully funded, how would this request help you in your life? *

What would you say to thank a donor who gave to this request? *

Please submit an image to be used on your public profile at iddeate. Note: Requests with photos of the individual receive funding faster on iddeate. However, this does not have to be a picture of you, just a represents you. *

Click or drag a file to this area to upload.

Tell Us More About Your Friend, Family Member, or Client

We'd like to learn more about the individual you support. Please answer the below questions to tell us a little bit about them.

What is their dream job or what would they enjoy doing for employment or volunteer work? *

What are their hobbies? *

What is one accomplishment that they're most proud of or that they want to achieve? *

What is one fun fact about them? *

What would you say to thank a donor who gave to this request? *

Please submit an image of this individual to be used on their public profile at iddeate that you have permission to share or use. Note: Requests with photos receive funding faster on iddeate. However, this does not have to be a picture of the person, just a representative photo. *

Click or drag a file to this area to upload.

Next

Tell Us About Your Resource Request

Please complete the below fields to share more information about the resource request or needed support.

Resource Request Details *

Please tell us as much as possible about the resource request. What is needed? To learn more about what types of requests we fund, please visit our Frequently Asked Questions page. Please note: the total request cost must be less than $500.

Resource Request Title *

Please give the support request a title based on what is needed. For example, a support request for job coaching might be "Help with job coaching skills" or "Job coaching request." Make sure your request title is memorable or creative but also tells what your request is about.

What Will This Request Help With? *

It's important that every approved iddeate request has a clear purpose and goal. This is how our team measures impact and shares success stories with our donor community. Please share how this support request will help make a difference if it is approved for funding. How will this resource provide a meaningful benefit and help provide personal or professional growth?

If applicable, please share anything else you would like iddeate to know!

Next

Request Confirmation & Terms Agreement

Before submitting this Resource Request, please confirm you have read and reviewed iddeate's Terms of Use and Privacy Policy governing the use of your information and the potential impact of iddeate funding to existing benefits and/or funding received through state, federal, and non-governmental channels. It is important you read through these terms and conditions carefully and consult with a tax or legal specialist for any questions you may have. 

Terms of Use & Privacy Policy *

• I have read and agree to the Terms of Use and Privacy Policy.

Data Sharing *

• I consent to iddeate sharing any and all information I provide iddeate, including any personal health information, with my legal guardian, if I have one, at the guardian’s request.
• I consent to iddeate sharing my name and contact information with third-party service providers as needed.

While not required, failure to consent to sharing your information with a third party service provider may limit our availability to provide services.

Submit Request