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Joy Fund Application

You may apply 2 months before your intended move and up to 3 months after you relocate. Please read the following carefully before applying. If you are approved for an award, you will be required to follow the program guidelines.

Program Guidelines

  • Applicants must be United States citizens and 18 years of age or older at the time of application submission.
  • The applicant must registered on our website as a Realm of Caring client.
  • Applications must be legible and complete, including all additional requested documentation.
  • Award recipients must participate in the Realm of Caring ORR (Observational Research Registry).
  • Recipients must furnish proof of their relocation within 30 days after their move. Otherwise, we may recall the full award to assist others.
  • One application per household.
  • We accept applications from those moving to states with established medical cannabis programs. Our list includes:
    • Arizona
    • California
    • Colorado
    • Michigan
    • New Mexico
    • New York
    • Oregon
    • Washington
    • Other states are considered on a case-by-case basis.
  • Recipients are encouraged to create a CrowdRise campaign for additional fundraising, if needed. Information regarding starting a campaign can be found in the client portal. We have Volunteer Ambassadors that can support and talk you through establishing a campaign.
  • Awards are a combination grant and interest-free loan. The $2,500 grant is given to the recipient to keep, while the $2,500 loan must be repaid, beginning 3 months after the recipient's move, in monthly installments for 15 months (approximately $166.67 per month). Automatic bank drafts are required to pay back the loan. By repaying the loan, we will have consistent funds to continue helping more families with their moving expenses.
  • Recipients must submit an Impact Report 6 months after approval. This report details how the award affected your life and your journey with cannabinoid therapies.
  • There are no fees to apply or receive money from the Joy Fund. The loan portion may be repaid sooner than 15 months at the recipient's discretion.
  • Recipients of the award who default on their loan may be subject to action which allows us to recoup the outstanding loan amount.

Required Information

The following information is required to complete your application. You can upload digital copies through this form, or mail/bring them to our office.
  • Government Issued Photo Identification (i.e. driver’s license, passport).
  • Verification of monthly income (i.e. all pay stubs for the month, wage statement, other work documents for household monthly income).
  • Prior year’s tax information.
  • Receipts or other documents showing moving expenses you have paid.
  • Documents showing change in residency (bills, lease agreements, mortgage documents, etc).

Review Process

Completed applications are reviewed on a first-come, first-served basis and will not be considered until all forms are completed and the necessary documentation is submitted. All applicants will receive a letter of notification regarding approval or denial of their application. The number of applicants that are accepted into the program will be dependent upon the program funding at the time of review.

If you have any questions, please let us know! Email [email protected] or call (719)347-5400 to speak with a Care Specialist.





Contact Information & Basics




First Name*

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Last Name*

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Date of Birth*

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Email*

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Primary Phone*

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Alternate Phone

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Briefly describe your situation and the reason you are compelled to relocate.*

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What is/was your move date?*

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Will your moving expenses be paid for or reimbursed by your employer or another entity?*


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Your Information, Before the Move

We want to learn how your move will affect you. Please answer these questions about your circumstances prior to your relocation.




Street Address*

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City*

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State*

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ZIP Code*

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What is/was your treatment plan?*

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Name of Your Physician(s)

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Health Insurance Provider/Plan*

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Employment Status*









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Do you have a spouse or partner who is employed?*


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What is your household's monthly income?
Include wages, disability payments, social security, pension, child support, and all other income sources.

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Provide any additional comments about your employment history you would like to be considered.

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Your Information, After Relocation

This helps us learn what will change after you move. If you have yet to move, please provide your most accurate expectations.




Street Address

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City

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State*

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To which state are you moving?

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ZIP Code

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What is the new treatment plan?*

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Name of Your Physician(s)

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Health Insurance Provider/Plan

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Employment Status*









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Do you have a spouse or partner who is employed?*


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What is your household's monthly income?
Include wages, disability payments, social security, pension, child support, and all other income sources.

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Provide any additional comments about your employment history you would like to be considered.

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Debts




Do you have medical debt?*


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Please provide the amount and explain.

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Do you have other debt you would like to disclose?*


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Please provide amount(s) and explain.

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Supporting Documentation

You can upload digital copies of your supporting documents here, or submit paper copies to our office.




Government Issued Photo ID (Driver's License, Military ID, Passport, etc)

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Monthly Income Verification

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Last Year's Tax Return

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Receipts for Moving Expenses

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Previous Location Verification
A bill, lease, mortgage, etc from your home before moving.

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New Location Verification
A bill, lease, mortgage, etc from your new home. If you haven't moved yet, you must supply this within 30 days of relocating.

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Medical Cannabis Registration Card/Recommendation
A copy of your new state's MMJ registration. In Colorado, it's a "red card"; in California, it's a "doctor's recommendation." This will vary by state. If you haven't moved yet, you must supply this within 30 days of relocating.

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Please write a paragraph or two indicating why you are requesting assistance.*

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Agreement





I certify that the information provided on this application is true and accurate to the best of my knowledge. I hereby release the Realm of Caring Foundation of all liabilities or claims arising out of the utilization of information provided in this Application and/or donation of money or services as a result of this application. I understand that the information is to be used to ascertain my qualifications to receive financial assistance from the Realm of Caring Foundation. I understand that submission of this application does not obligate the Realm of Caring Foundation in any way to provide assistance to applicant.

I give permission to the Realm of Caring Foundation to share the information as necessary to consider my financial assistance request. I hereby grant permission to the Realm of Caring Foundation, all affiliates and representatives or agents to investigate the information contained herein, and to obtain credit reports. I understand that the Realm of Caring Foundation reserves the right to approve or deny this application.




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