Home CHN Foundation Applying For Assistance

Applying for Assistance

To be eligible for Foundation assistance, the applicant must live in one of the CHN service area zip codes:

Almond - 54909

Hancock - 54943

Packwaukee - 53953

Saxeville - 54976

Berlin - 54923

Kingston - 53939

Pickett - 54964

Waukau - 54980

Brandon - 53919

Manchester - 53945

Pine River - 54965

Waupaca - 54981

Cambria - 53923

Markesan - 53946

Plainfield - 54966

Wautoma - 54982

Coloma - 54930

Marquette - 53947

Poy Sippi - 54967

Westfield - 53964

Dalton - 53926

Montello - 53949

Princeton - 54968

Wild Rose - 54984

Eureka - 54934

Neshkoro - 54960

Randolph - 53956


Fairwater - .53931

Omro - 54963

Redgranite - 54970


Green Lake - 54941

Oxford - 53952

Ripon - 54971


Application Process

Click Here to apply for an individual financial assistance grant from the CHN Foundation. If you would like an application mailed to your home, contact the CHN Foundation office at 920-361-6524.

Spanish Version of Application for Individual & Family.

Click Here to apply for a non-profit community group financial assistance grant from the CHN Foundation. Non-Profit Community Groups are permitted to apply for assistance no more than twice per year, and must be located in one of the CHN Service Zip Codes.  If you have questions would like an application mailed to your business, contact the CHN Foundation office at 920-361-6524. 

After you have completed and returned your application, the CHN Foundation will review and evaluate your needs, and will contact you with regards to their decision.


CHN Volunteers

Volunteer_logoWhile expert medical providers, management and caring staff are instrumental in leading our organization, providing these services would be impossible without the dedication and commitment of our valued CHN Volunteers. Read More >>

CHN Foundation

foundation_logoBeyond hands-on medical care our CHN Foundation, a 501 (c) (3) charitable organization, is available to help area children, adults, and families. Read More >>

CHN Careers

Whether you prefer the excitement of helping implement cutting-edge treatment technology or the close relationships that evolve through contact with patients and their families, you can find your special place at CHN. Work With Us>>>
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