Welcome to Advance Hope Ministries, a 501(c)(3) nonprofit organization dedicated to supporting individuals in their journey towards mental wellness by providing scholarships for Mental Health Services including counseling, coaching and psychiatric care. We believe that everyone deserves access to quality mental health care, regardless of their financial circumstances. 
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Advance Hope Ministries Scholarship Application

ATTENTION:  Please make sure that you have filled out a "Client Inquiry Form" with Advance Hope Mental Wellness before submitting this application.

Financial Scholarship Application
This application is for individuals seeking financial assistance to access mental health services (counseling, coaching, or Psychiatric care) at Advance Hope Mental Wellness. Through the generosity of our donors, we offer scholarships to those facing financial barriers to care.
How Our Scholarship Program Works:
  • Scholarship awards are determined using a sliding scale based on your household income
  • Funding is subject to availability and cannot be guaranteed
  • Awards are reviewed on a case-by-case basis to ensure we can support as many individuals as possible
Privacy & Information Sharing:
If your scholarship application is approved, you will be asked to sign a limited release of information. This authorization allows Advance Hope Mental Wellness to share only your service dates with the scholarship provider—no clinical or personal information will be disclosed.

Personal Details for Individual Requesting Scholarship

Name
Address
Is this application for individual, couple or family services?
Is this an application for a minor?
How did you hear about this Advance Hope Ministries Scholarship?
Do you attend Church?
Do you have health insurance or an HSA?
Tell us about your work?
Are you a student?
Are you a veteran?
Please tell us about your housing:
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Are you currently receiving mental health services through Advance Hope Mental Wellness?
If you qualify for a AHM scholarship all payments will be send directly to Advance Hope Mental Wellness and it will be credited to your account.

By signing below you are acknowledging that you are providing accurate information about your life and your finances. You also acknowledge you are pursuing a scholarship for counseling or coaching through a faith-based provider.  Please note that filling out this application does not guarantee approval and a decision letter may take 2 to 3 weeks.  Please note decision letters will be emailed to the applicant.

By signing below, you are requesting your information to be reviewed by AHM and a scholarship committee. Additionally, by signing below, you are allowing AHM to contact your mental health provider and provide them with a link to participate in our scholarship program. Providers must be registered to receive funds.

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