SpArc Application

Name of person filling out this application(Required)

First Last

Email address of person filling out this application(Required)

Enter Email Confirm Email

Name & Title of representative of The Arc(Required)

Name of qualifying applicant(Required)

(applicant means person with I/DD, no matter his or her age)

First Last

Date of birth of applicant(Required)

County where applicant resides(Required)

Email address of applicant(Required)

Enter Email Confirm Email

Phone number of applicant(Required)

Is applicant (person with I/DD) a minor?(Required)

Yes

No

Parent/Legal Guardian Email Address(Required)

Please describe the request in detail.(Required)

Provide some details about the reasons this applicant is unable to meet this need financially.(Required)

What is the primary diagnosis of the applicant? Please list all accompanying diagnoses.(Required)

Is the applicant receiving NC Innovations Waiver services?(Required)

Does the applicant have any other support services in place? Be specific.(Required)

Has applicant ever received funding from The Arc of Davidson County previously?(Required)

Yes

No

Please list details in space below, complete with dates, item funded, and amount received.(Required)

Is this request a health and safety emergency?(Required)

Yes

No

Please state reason for urgency(Required)

Please list all other avenues the applicant has tried to meet this need. Please be specific. (e.g. specific county resources, First In Families, etc.)(Required)

Total cost of the request, including taxes and delivery (if applicable): You will also need to show proof of this estimate.(Required)

What is (what can be, what will be) the applicant's contribution to the total cost?(Required)

What is the total amount being requested from The Arc today?(Required)

The Arc only pays vendors and never the applicant. Please list the name of the vendor here.(Required)

Vendor's mailing address(Required)

Pay It Forward: Should this applicant receive funding from The Arc, does this applicant or family have any skills or services they can offer someone in their area?(Required)

(for example: carpentry, electric work, transportation)

Yes

No

Upload Attachments

If you have any documentation that needs to be included with this application, please upload them here.

Drop files here or

Max. file size: 512 MB, Max. files: 5.

Scholarship Program of The Arc

SpArc, Scholarship Program of The Arc, is an opportunity for Davidson County residents of all ages with an intellectual/developmental disability to be considered for financial assistance.

How it works

The Arc of Davidson County, Inc.

Scholarship Program of The Arc SpArc, Scholarship Program of The Arc, is an opportunity for Davidson County residents of all ages with an intellectual/developmental disability to be considered for financial assistance.

How it works

The Arc of Davidson County, Inc.

Scholarship Program of The Arc

SpArc, Scholarship Program of The Arc, is an opportunity for Davidson County residents of all ages with an intellectual/developmental disability to be considered for financial assistance.