{"id":5060,"date":"2026-02-26T14:09:24","date_gmt":"2026-02-26T20:09:24","guid":{"rendered":"https:\/\/alabamarespite.wpenginepowered.com\/?page_id=5060"},"modified":"2026-02-26T14:11:01","modified_gmt":"2026-02-26T20:11:01","slug":"alr-grant","status":"publish","type":"page","link":"https:\/\/alabamarespite.org\/es\/alr-grant\/","title":{"rendered":"ALR Grant"},"content":{"rendered":"<p><strong>2026 Adult Day Services Respite Grant Application<\/strong><\/p>\n<p>&nbsp;<\/p>\n<style id=\"wpforms-css-vars-5053\">\n\t\t\t\t#wpforms-5053 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-5053\"><form id=\"wpforms-form-5053\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"5053\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/5060?wpforms_form_id=5053\" data-token=\"5889dca2fc698021a4133ca90445a774\" data-token-time=\"1776698186\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-5053-field_4-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"4\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_5\">Agency Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-5053-field_5-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_49-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_49\">Agency Mailing Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_49\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][49]\" aria-errormessage=\"wpforms-5053-field_49-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_50-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_50\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_50\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][50]\" aria-errormessage=\"wpforms-5053-field_50-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_51-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_51\">State <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_51\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][51]\" aria-errormessage=\"wpforms-5053-field_51-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_7\">Zip <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-5053-field_7-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_10-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_10\">Year Agency Was Established <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-5053-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" step=\"any\" aria-errormessage=\"wpforms-5053-field_10-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_30-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"30\"><fieldset><legend class=\"wpforms-field-label\">Which best describes your agency (Select One):<\/legend><ul id=\"wpforms-5053-field_30\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_30_1\" name=\"wpforms[fields][30]\" value=\"Non-profit Organization\" aria-errormessage=\"wpforms-5053-field_30_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_30_1\">Non-profit Organization<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_30_2\" name=\"wpforms[fields][30]\" value=\"Faith-Based Organization\" aria-errormessage=\"wpforms-5053-field_30_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_30_2\">Faith-Based Organization<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_30_3\" name=\"wpforms[fields][30]\" value=\"Local (City\/County) Agency\" aria-errormessage=\"wpforms-5053-field_30_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_30_3\">Local (City\/County) Agency<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_30_4\" name=\"wpforms[fields][30]\" value=\"State Agency\" aria-errormessage=\"wpforms-5053-field_30_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_30_4\">State Agency<\/label><\/li><\/ul><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_31\">EIN: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" aria-errormessage=\"wpforms-5053-field_31-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_32\">Name of Person Submitting Grant Application: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" aria-errormessage=\"wpforms-5053-field_32-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_33\">Title <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" aria-errormessage=\"wpforms-5053-field_33-error\" required><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_34\">Email Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-5053-field_34-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-5053-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_35\">Phone Number (with Area Code):  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" aria-errormessage=\"wpforms-5053-field_35-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-5053-field_36-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_36\">Program Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-5053-field_36-error\" required><\/div><div id=\"wpforms-5053-field_37-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"37\"><fieldset><legend class=\"wpforms-field-label\">Grant Purpose <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5053-field_37\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_37_1\" name=\"wpforms[fields][37]\" value=\"Startup\" aria-errormessage=\"wpforms-5053-field_37_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_37_1\">Startup<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_37_2\" name=\"wpforms[fields][37]\" value=\"Expansion\" aria-errormessage=\"wpforms-5053-field_37_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_37_2\">Expansion<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5053-field_39-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"39\"><fieldset><legend class=\"wpforms-field-label\">Target Populations (Select All That Apply): <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5053-field_39\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_39_1\" name=\"wpforms[fields][39][]\" value=\"Rural Communities\" aria-errormessage=\"wpforms-5053-field_39_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_39_1\">Rural Communities<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_39_2\" name=\"wpforms[fields][39][]\" value=\"Medically Underserved Communities\" aria-errormessage=\"wpforms-5053-field_39_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_39_2\">Medically Underserved Communities<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_39_3\" name=\"wpforms[fields][39][]\" value=\"Low-Income\/Limited Resource Caregivers\" aria-errormessage=\"wpforms-5053-field_39_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_39_3\">Low-Income\/Limited Resource Caregivers<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_39_4\" name=\"wpforms[fields][39][]\" value=\"Veterans\" aria-errormessage=\"wpforms-5053-field_39_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_39_4\">Veterans<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5053-field_40-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"40\"><fieldset><legend class=\"wpforms-field-label\">Service Focus (Select All That Apply) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5053-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_40_1\" name=\"wpforms[fields][40][]\" value=\"Alzheimer\u2019s Disease and Related Dementias\" aria-errormessage=\"wpforms-5053-field_40_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_40_1\">Alzheimer\u2019s Disease and Related Dementias<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_40_2\" name=\"wpforms[fields][40][]\" value=\"Autism Spectrum Disorder and\/or Sensory Processing Disorder\" aria-errormessage=\"wpforms-5053-field_40_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_40_2\">Autism Spectrum Disorder and\/or Sensory Processing Disorder<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_40_3\" name=\"wpforms[fields][40][]\" value=\"ID\/DD (Down syndrome, CP, etc.)\" aria-errormessage=\"wpforms-5053-field_40_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_40_3\">ID\/DD (Down syndrome, CP, etc.)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_40_4\" name=\"wpforms[fields][40][]\" value=\"Physical Disabilities\/Medically Fragile\" aria-errormessage=\"wpforms-5053-field_40_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_40_4\">Physical Disabilities\/Medically Fragile<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-5053-field_40_5\" name=\"wpforms[fields][40][]\" value=\"Mental Health\" aria-errormessage=\"wpforms-5053-field_40_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_40_5\">Mental Health<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5053-field_41-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"41\"><fieldset><legend class=\"wpforms-field-label\">Is this program open to all members of the community regardless of race, religion, or political affiliation? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5053-field_41\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_41_1\" name=\"wpforms[fields][41]\" value=\"Yes\" aria-errormessage=\"wpforms-5053-field_41_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_41_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_41_2\" name=\"wpforms[fields][41]\" value=\"No\" aria-errormessage=\"wpforms-5053-field_41_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_41_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5053-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_20\">Which Alabama counties are served by this program? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-5053-field_20\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][20]\" placeholder=\" \" aria-errormessage=\"wpforms-5053-field_20-error\" required><\/textarea><\/div><div id=\"wpforms-5053-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_22\">Is there currently a waitlist for this respite program? If yes, how many caregivers are on the waitlist? <\/label><textarea id=\"wpforms-5053-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" placeholder=\" \" aria-errormessage=\"wpforms-5053-field_22-error\" ><\/textarea><\/div><div id=\"wpforms-5053-field_23-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_23\">What is the fee (if any) for this respite program? <\/label><textarea id=\"wpforms-5053-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" placeholder=\" \" aria-errormessage=\"wpforms-5053-field_23-error\" ><\/textarea><\/div><div id=\"wpforms-5053-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_21\">How many full-time, unpaid family caregivers receive respite through this program annually?<\/label><textarea id=\"wpforms-5053-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" placeholder=\" \" aria-errormessage=\"wpforms-5053-field_21-error\" ><\/textarea><\/div><div id=\"wpforms-5053-field_42-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_42\">How many hours of direct respite service does this program provide annually? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-5053-field_42\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][42]\" placeholder=\" \" aria-errormessage=\"wpforms-5053-field_42-error\" required><\/textarea><\/div><div id=\"wpforms-5053-field_25-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"25\"><\/div><div id=\"wpforms-5053-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_28\">Program Description: Provide an overview of your services.  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-5053-field_28\" class=\"wpforms-field-large wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"5053\" data-field-id=\"28\" data-text-limit=\"500\" name=\"wpforms[fields][28]\" placeholder=\"Crucial: Detail your specific outreach strategy for reaching rural or underserved residents.\" aria-errormessage=\"wpforms-5053-field_28-error\" maxlength=\"500\" required><\/textarea><\/div><div id=\"wpforms-5053-field_43-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_43\">Fund Utilization: Specifically, how will this grant increase the number of people served or the quality of care provided to the target populations? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><textarea id=\"wpforms-5053-field_43\" class=\"wpforms-field-large wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"5053\" data-field-id=\"43\" data-text-limit=\"500\" name=\"wpforms[fields][43]\" placeholder=\"Crucial: Detail your specific outreach strategy for reaching rural or underserved residents.\" aria-errormessage=\"wpforms-5053-field_43-error\" maxlength=\"500\" required><\/textarea><\/div><div id=\"wpforms-5053-field_44-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_44\">Amount Requested: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5053-field_44\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][44]\" aria-errormessage=\"wpforms-5053-field_44-error\" required><\/div><div id=\"wpforms-5053-field_45-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_45\">Line-Item Budget <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div\n\t\tclass=\"wpforms-uploader wpforms-field-required\"\n\t\tdata-field-id=\"45\"\n\t\tdata-form-id=\"5053\"\n\t\tdata-input-name=\"wpforms_5053_45\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"52428800\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"52428800\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-5053-field_45\"\n\t\tname=\"wpforms_5053_45\" required\t\tvalue=\"\">\n<div id=\"wpforms-5053-field_45-description\" class=\"wpforms-field-description\">Attach a breakdown of expenses (Staff, Supplies, Rent, etc.).<\/div><\/div><div id=\"wpforms-5053-field_48-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"48\"><div id=\"wpforms-5053-field_48\" aria-errormessage=\"wpforms-5053-field_48-error\"><p><b>If issued grant funds, the organization will be required to provide a report by Jan. 31, 2027, describing grant outcomes. Photographs and\/or short videos are encouraged with this report. Submission of such information implies permission for Alabama Lifespan Respite to use online and in reporting. Is your organization willing to comply with this requirement?<\/b><\/p><\/div><\/div><div id=\"wpforms-5053-field_46-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\"> <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5053-field_46\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_46_1\" name=\"wpforms[fields][46]\" value=\"Yes\" aria-errormessage=\"wpforms-5053-field_46_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_46_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5053-field_46_2\" name=\"wpforms[fields][46]\" value=\"No\" aria-errormessage=\"wpforms-5053-field_46_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5053-field_46_2\">No<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-5053-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-5053-field_1\" >Program Zip this<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-5053-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-5053-field_47-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-5053-field_47\">Supplemental Materials (Optional)<\/label><div\n\t\tclass=\"wpforms-uploader \"\n\t\tdata-field-id=\"47\"\n\t\tdata-form-id=\"5053\"\n\t\tdata-input-name=\"wpforms_5053_47\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages\"\n\t\tdata-max-size=\"52428800\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"52428800\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg  viewBox=\"0 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-5053-field_47\"\n\t\tname=\"wpforms_5053_47\" \t\tvalue=\"\">\n<div id=\"wpforms-5053-field_47-description\" class=\"wpforms-field-description\">Attach brochures, letters of support, or program calendars.<\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-5053-field_1-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-5053-field_1-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-5053-field_1-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"5053\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/alabamarespite.org\/es\/wp-json\/wp\/v2\/pages\/5060\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-5053\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/alabamarespite.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>2026 Adult Day Services Respite Grant Application &nbsp;<\/p>","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":""},"class_list":["post-5060","page","type-page","status-publish","hentry","latest_post"],"_links":{"self":[{"href":"https:\/\/alabamarespite.org\/es\/wp-json\/wp\/v2\/pages\/5060","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alabamarespite.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alabamarespite.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alabamarespite.org\/es\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/alabamarespite.org\/es\/wp-json\/wp\/v2\/comments?post=5060"}],"version-history":[{"count":0,"href":"https:\/\/alabamarespite.org\/es\/wp-json\/wp\/v2\/pages\/5060\/revisions"}],"wp:attachment":[{"href":"https:\/\/alabamarespite.org\/es\/wp-json\/wp\/v2\/media?parent=5060"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}