Apply for a Wish

If you (or an older person you know who is 65 or older) have a wish that will significantly impact your life and bring you happiness, we want to know about it!

Senior Promises grants wishes to low income seniors in Connecticut to bring relief and joy to their lives.

Please review the types of wishes we will grant and the requirements of the wish beneficiary below.

Wish Recipient Requirements

· Over the age of 65 and qualify for CT Medicare Savings Program (Income requirements annually: Single $35,868 or couple $48,516 or less per calendar year). This number will not be asset tested at this time.

· Live in Connecticut

· Must be cognitively, emotionally and physically capable of experiencing the wish

· Must be unable to fulfill the wish on your own or with family assistance

Types of Wishes We Grant

Senior Promises grants individual wishes in the $300 - $500 range. Exceptions are made if an extraordinary need is demonstrated and approved by our Board.

Here are some examples of wish items that we’ve granted:

· Appliances/Electronic devices

· Gift cards

· Christmas gifts for grandchildren

· Medical expenses for things not otherwise covered by Medicare (ramps, therapeutic shoes, etc.)

· Air conditioners

· Non-medical transportation costs

· Car or home repairs

WISH APPLICATION FORM

By filling out the form below, I acknowledge that acceptance of this application does not guarantee fulfillment of my wish. I declare that my annual income is not over $35,868 for a household of one or $48,516 for a household of two. I understand that I may be asked to show proof of income(may be submitted with application to avoid delays). I declare that all information provided by me is accurate and I agree to inform Senior Promises if any information changes. I understand that I may be asked to provide a medical verification form prior to wish being granted.

Wish Application Form

Click below to download and mail your wish application instead of using the fillable form above:

SeniorPromisesWishApplication2023 (pdf)

Download

APPLY FOR A WISH

Wish Recipient Requirements

Types of Wishes We Grant

WISH APPLICATION FORM

For assistance filling out this application, please call 203-214-2466.

Wish Application Form

APPLY FOR A WISH

Wish Recipient Requirements

Types of Wishes We Grant

WISH APPLICATION FORM

For assistance filling out this application, please call 203-214-2466.

Wish Application Form

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