Take the Grant Application online by clicking the button above. No printing necessary.

Press the button above to download a Grant Application for printing or emailing.

You can print the application and fill it in by hand and then mail it with any support documents to:

North Fork Women, Attn: Grants, PO Box 804, Greenport, NY 11944

You can also complete the application on your computer, save it, and then email it with any support documents to:


Complete the LifeLine Application online by clicking the button above. No printing necessary.

Who can apply for a grant from North Fork Women?

Only NFWFWF members are eligible for financial assistance. A member of North Fork Women is a self-identified lesbian who resides full-time or seasonally in one of the following 3 townships:

  • Southold Town
  • Riverhead Town
  • Shelter Island Town

What kind of healthcare grants are available from North Fork Women?

There are three kinds of grants available through our organization:
Healthcare Grants, Non-Medical Grants and LifeLine Grants

  1. Healthcare Grants: Funds are available to NFWFWF members for out-of-pocket medical expenses such as mammograms, other diagnostic tests, annual physicals, health insurance co-payments, hearing, dental and eye care, physical therapy, medication, and more.
  2. Non-Medical Grants: We can help with payment for non-medical expenses, such as car repairs, necessary home expenses, unexpected bills or other essential items. These grants will follow the same review process by the Grants Committee and sent to the NFWFWF board for final approval.
  3. Medical Alert Grants: Funds are available to members of North Fork Women for medical alert device and subscription.

  1. How to apply for a NFWFWF Grant
  • The Grant Application can be accessed on this page. Just click the appropriate button.
  • If you don’t have a printer, we can mail an application to you. Either call us at 631-477-8464, or send us an email at grants@northforkwomen.org. Remember to send us your mailing address in either case. The application is only two pages and easy to complete.
  • If you have a printer, you can download a grant application. The application is a fill-in pdf and can be completed directly on your computer. If that doesn’t feel right, you can always print out the application, fill it in by hand and mail it to us.
  • To apply for a NFWFWF grant fill out all questions on the Grant Application completely.
  • After completing the application, return it to North Fork Women. Remember to include any support documents, such as estimates or unpaid bills.
  • Email the completed form to us at grants@northforkwomen.org, or,
    Mail it to: North Fork Women, Att: Grants Chair, PO Box 804, Greenport, NY 11944

If you have any questions about completing the application call us at 631-477-8464 or send us an email by clicking here.