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Application for Assistance

Complete the form below to apply for assistance and take the first step toward accessing the support and resources you need.

**The Ivy Elite Foundation only accepts Private Pay or Comp/Now Waiver (participant directed)**

Application for Assistance

Birthday of Individual Needing Assistance
Month
Day
Year
Multi-line address
Soonest Availability for Phone Assessment
Month
Day
Year
Time
:

The Ivy Elite Foundation

5139 Jimmy Carter Blvd, Suite 202

Norcross, GA, 30093

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Mission

The Ivy Elite Foundation empowers individuals with developmental disabilities by fostering inclusion, celebrating diversity, and enhancing life skills.

EIN Number (Employer Identification Number): 92-2716918

©2025 by The Ivy Elite Foundation Inc

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