General Assistance Fund


PWSA of WI, Inc. wishes to provide financial assistance in order for families of a person with PWS to help meet the unique needs of these individuals and their families.


Eligibility is based on financial need. Financial need being equal, the second consideration would be given to those who could benefit most from funds (respite intervention or personal/behavioral issues that need to be addressed).

  1. Any person with PWS who resides in the state of WI.
  2. The person with PWS or the caregiver or a family member of the person with PWS must be a member of the state chapter of the PWSA of WI, Inc.

Name of person with PWS*

 Male Female






Is individual, family member or caregiver a member of PWSA of WI, Inc?*
 Yes No

Does individual reside in WI?*
 Yes No

Does a parent/guardian reside in WI?*
 Yes No

Email address*

Home phone*

Work phone*

Cell phone*

Parent/guardian’s or Person with PWS’s employer if not residing at home*

Current position*

Employer’s address*

Dates at present job*

Gross annual income (select one)*
 < $15,000 $15,000 - $29, 000 $30,000 - $41,000 $42,000 - $59,000 $60,000 - $119,000 over $120,000

Average monthly amounts of other income (Please specify sources, ie. SSI, SSDI, MA, CIP)*

Specific dates funds are needed by*

Amount requested*

What will funds be used for?*

Why would this scholarship be helpful to you?*

How will funds improve the quality of life for the individual with PWS? (Financial need, need for respite, etc.)*

I certify that all of the information given above is true and correct. I understand that any false or incomplete statements in this application may make this application ineligible for funding. I authorize verification of any of the above information.

I accept*

*Required field