Apply For Assistance

In order to apply for assistance from Jeremy's Heroes you will need to print out, fill out and mail us the application. You can get the application right here. You will need Adobe's Acrobat Reader to view and print this though, click here if you need that too.

After you print the application, fill it out as best as you can. If you send a handwritten application, please make sure we can read it. You can also type your responses on a separate piece of paper, just make sure you repeat each question as you answer it so we match them up.

When you are done mail the completed application, including the letters of reference to:

   Jeremy's Heroes
   900 Route 9 North
   6th Floor
   Woodbridge, NJ 07095

Please do not send the application until you have completed all the sections.

For more information or questions about Jeremy’s Heroes send us an e-mail: