Apply for Assistance

Any resident of Mercer County, NJ can apply to Shine and Inspire. You can apply either by mail or by filling out the form below.

By mail:
1. Print our application and fill it out completely.
2. Mail to: Carol Feldman, LCSW, CAS; 106 Straube Center Blvd., Suite F121; Pennington, NJ 08534

Online:
Fill out this form

Name *

Address *

Phone *

Cell

Email

Why should you be selected to receive a gift from Shine and Inspire to help you “Shine?” *
(300 words or less).

If selected, in return I will be “Inspired” to give back to my community by: *