This following application cannot be saved.  Please be prepared to complete and submit the application with required documentation in one sitting.  We recommend printing the application and preparing your documents for submission prior to starting the online version to save time and effort.  

MHA Mental Health Fund Application

  • How many family members do you claim on your tax return?
  • What do you do and for how long have you been doing it?
  • There is no wrong answer.
    If you answer YES, please answer to the last question so we can better assist you. If you are NEW to MHA, please click submit and we will be back in touch shortly.
  • Please select the advocate that you have worked with previously at Music Health Alliance.
  • REQUIRED: Please select 2 of the following 4 document options to upload as proof of need: 1. Most Recent Tax Return 2. Most Recent Bank Statement 3. Employment or Unemployment Check Stub or Direct Deposit Documentation 4. Alternative Proof of Need Documentation or Letter of Explanation
    Drop files here or
    Max. file size: 100 MB, Max. files: 2.
    • This field is for validation purposes and should be left unchanged.