REQUEST FOR FUNDS FROM THE SARAH ADELMAN MEMORIAL FUNDThe primary focus of The Sarah Adelman Memorial Fund is to provide financial support to needy families in the St. Louis Jewish Orthodox community whose children require assistance in obtaining counseling services. We would appreciate it if the identity of the person seeking assistance is kept anonymous. If your request matches our mission, PLEASE PROVIDE YOUR EMAIL ADDRESS (without identifying the person for whom funding is requested) and complete the following form:Please enable JavaScript in your browser to complete this form.Is the applicant or his/her family members of the St. Louis Jewish Orthodox community? *YesNoWhat synagogue and school does the child attend? (Type N/A if none) *Is the applicant being treating by a therapist? *YesNoIf the applicant is seeking funds for treatment from that therapist, please identify his/her name, phone number and physical and email addresses of the therapist as well as the email address of the person submitting this request. *Does the therapist take insurance?YesNoWhat are the per visit charges for the therapist? What are the number of therapy sessions requested to be funded? Total Expenses: *Less: Amount covered by insurance *Less: Amount family will contribute - Our fund supplements what the family can afford to pay.Amount of expenses requested from the Fund *NameSubmit