The Molina Foundation Registration
The Molina Foundation is a nonprofit organization dedicated to reducing disparities in access to education and health from under-served and low income children, families, and communities.
This is the first step to connect your organization or program with The Molina Foundation's network. Eligible organizations will receive information about grant announcements, resources for teachers and parents and other unique opportunities.
If you have any questions, please contact The Molina Foundation at email@example.com or (310) 375-6813.
Section I: Eligibility
Name of Organization/School
The Molina Foundation works with qualified organizations serving children and families in need. Please identify which option best describes your program.
Title I school or Title I program
501(c)3 Nonprofit Organization
Medical, Dental, Vision Provider
Check all that apply.
Other, please describe:
What percentage of the population you serve are from low-income families or neighborhoods?
Enter a number between
Use only numbers. You do not need to use the % character.
Check all that apply to your program or school
Located within a 3 mile radius of a Title I school or WIC office
Faith-based organization serving low income population
Faith-based organization with an outreach program that serves low-income communities
Clinic or doctor's office serving Medicaid patients
More than 30% of clients/patients served speak a primary language other than English in their homes
None of the above
Does your school or program provide services for:
English Language learners
Migrant workers and families
Homeless children, adults and families
New immigrant families
Children or individuals with special needs
Military members, veterans and their families
Individuals with a chronic or terminal illness
Isolated or hard to reach communities
None of the above
Do Not Fill This Out