Request A Twilight Wish

How Can I Request A Twilight Wish And Who Qualifies To Receive One?

Applications may be submitted for yourself or on behalf of someone else. Please either fill out the online application or download it below. Or, if you would like us to mail you a Twilight Wish application, contact our office at 877-TWF-WISH (893-9474).

Twilight Wish provides wish granting applications, services, and products FREE OF CHARGE to the Twilight Wish recipient. There are NEVER ANY APPLICATION FEES.

If you want to submit a Twilight Wish application, whether this request is for a Simple Needs Wish (e.g. a wheelchair), Living Life to the Fullest Wish (e.g. going to a ball game), or Celebrating a Life Wish (e.g. visiting your hometown one more time), we look forward to learning about your wish and how we can make your dream come true.

Twilight Wish Recipient Requirements

Qualifying Twilight Wish recipients must meet all the following requirements:

Must be 65 years of age or a permanent resident of an eldercare facility
Legal United States citizenship
An annual income of less than 200% of current federal government published poverty level income (2017 – $23,760 or less annual income for a household of one) or be unable to grant own wish (not including financial reasons)
History of giving back to others (through service to our nation, community or family)
Must be cognitively and physically capable of communicating and experiencing the wish
Physician documentation (when requested)

Note: Proof of age, income, personal history, physical condition per a physician’s letter, and citizenship are conditions of this application and must be provided if requested for the wish to be granted.

How Does Twilight Wish Determine If Your Wish Can Be Granted?

The Twilight Wish Committee meets on a monthly basis to review new applications and determine the eligibility of the Twilight Wish Applicants and the Twilight Wish Requests.

The Nominee must meet all the Twilight Wish Requirements, understand the Twilight Wish Restrictions, and include complete documentation with their application. Some wishes are restricted and cannot be granted as they are not in alignment with our Twilight Wish core values.

Twilight Wish Foundation grants qualifying wishes as funding and resources become available. We may contact sponsors and volunteers to help grant wishes. We typically place wishes on our website and grant them when funding becomes available.

TWF reserves the right to deny requests for any purpose in conflict with the mission of TWF. We do our best to respond within 60 days of receipt of an application. If you have any questions, please contact 1-877-TWF-WISH.

Twilight Wish Restrictions

Twilight Wish Foundation (TWF) grants qualifying wishes as funding and resources become available. TWF reserves the right to deny requests for any purpose in conflict with the mission of TWF. TWF will deny the following types of wishes:

Political, dangerous or illegal in nature
Housing reconstruction (any type, including home repair)
Bill payments or requests for cash
Medical items (including surgery or pharmaceutical items)
Physical assets such as houses, vehicles, and boats, etc.
We do not accept applications submitted by a paid third party
We do not grant wishes for vacations. Travel wishes must be purposeful, i.e. to visit a hometown one more time.
Wishes that extend beyond the life of the wish recipient (funeral arrangements, headstones, etc.)

Click here to download the “Twilight Wish Application Form”

Request A Twilight Wish Now

REQUEST A WISH APPLICATION
Requirements and Restrictions*
- I have read and agree to the Requirements and Restrictions
1: Twilight Wish Nominee Information
Wish Nominee Name*
First Last
Birth Date*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number*
Home Cell
Email*
Annual Household Income*
(estimated; include income from all sources)
Number of people living in the household*
Please enter a value between 0 and 10.
Wish Description*
2. Wish Nominator Information
Are you nominating yourself of someone else?*
- Myself
- Someone else
Wish Nominator Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number*
Home Cell
Relationship to Nominee*
Does the nominee know you have submitted this wish?*
3. Why Twilight Wish
Please explain in detail why this Twilight Wish is so meaningful and special to the recipient and what prompted the wish.*
4. Personal History
Is the nominee a Veteran?*
If yes, please list what branch the nominee served in and details of his or her service.*
Past community involvement or volunteer service:
Other information you feel is important:
How did you hear about Twilight Wish Foundation?*
- A Friend
- Internet
- News
- Facebook
- Other
Other*
5. Certification
By signing below, I acknowledge that the acceptance of this application form by Twilight Wish Foundation (TWF) does not constitute an agreement by TWF to fulfill my wish request. If TWF may be able to fulfill the wish request described above, a TWF representative will contact me.

Furthermore, I certify that the wish recipient meets all eligibility criteria established by TWF and I have read the wish requirements and restrictions. I declare that all of the information given by me in this application is true and complete to my knowledge. I agree to inform TWF in a timely manner if any information in this form changes.
Signature*
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Please Note: Twilight Wish Foundation is registered in Pennsylvania as a nonprofit corporation and is a public charity exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. Donations made to grant open wishes are tax deductible. Twilight Wish Foundation will make every effort to ensure that donated funds go to the wish of your choice. If this is not possible, we will apply the funds to the most urgent and similar wish open at the time. Twilight Wish Foundation has final decision-making authority over the use of all donations.