---
title: 'Apply or Nominate'
url: 'https://samanthas-house.preview.mountainairweb.com/nominate'
markdown: 'https://samanthas-house.preview.mountainairweb.com/nominate.md'
date: '2026-09-20'
---

Apply 
# Apply or Nominate

Samantha’s House is a non-profit organization that helps people who have been seriously injured or are disabled by improving their surroundings and making their life a little easier.

 How to Apply 
## Two ways to submit an application

The foundation chooses deserving people who are trapped both physically and financially due to their injuries or disability, and who face everyday life challenges because of their current living conditions.

### Online Application

Complete the application online in a few minutes.

[Online Application](https://docs.google.com/forms/d/e/1FAIpQLSfjUSnipWn8llESNaMIbHaI4cBbHo6k6eA1I1ATjt9K5pqqow/viewform)

### Printable Application

Download, print and mail it to:
Samantha’s House Foundation
2850 North Meridian Street
Indianapolis, IN 46208-4713

[Printable Application](https://samanthas-house.preview.mountainairweb.com/user/media/SamanthasHouse_Application.pdf)

 [ Start the Online Application ](https://docs.google.com/forms/d/e/1FAIpQLSfjUSnipWn8llESNaMIbHaI4cBbHo6k6eA1I1ATjt9K5pqqow/viewform) [ Download Printable Application (PDF) ](https://samanthas-house.preview.mountainairweb.com/nominate/samanthas-house-application.pdf)

---

## Navigation

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