NICU Mom Voucher Application

top of page

Home
Get Help
About Us
Blog
Blog
Donate
Current Initiatives

We understand that having a baby in the NICU is an incredibly difficult journey. The Waythrough Project is here to provide support during this critical time. This form is specifically for NICU moms who need assistance with food, hotel, and gas vouchers. Please fill out the details below, and our team will follow up with you personally to see how we can help.

First name*

Last name*

Phone*

city and state*

NICU Details:

Hospital Name*

Baby’s Date of Birth*

Month

Day

Year

How many weeks gestation was your baby at birth?

Are you currently staying near the hospital?*

yes

If yes, where are you staying? (hotel, Ronald McDonald house, home, etc.)

Current Needs:

Food assistance / meal vouchers

Gas vouchers

Temporary housing assistance

NICU care package

Care packages may include snacks, toiletries, comfort items, and small essentials to support NICU parents during their stay.

Financial / Situation:

Are you currently experiencing financial hardship due to this situation?*

Yes

Are you currently working?*

Yes

Support System:

Do you have family or support nearby?*

Yes

Are you a single parent?*

Yes

Urgency:

How urgent is your need?*

Immediate (within 24–48 hours)

Urgent (this week)

General support

Payment Information (If Approved)

If your application is approved, how would you prefer to receive assistance?*

Please provide your username, handle, or details for your selected method: (Example: $username, @handle, email, phone number, etc.)

CONSENT:

I confirm that the information provided is accurate to the best of my knowledge.

I understand that assistance is not guaranteed and is based on availability of funds.

Asheville, NC
thewaythroughproject@gmail.com

bottom of page