Apply | Live4Evan

Housing Application

The Live4Evan Organization offers seven, fully furnished apartments directly next to Boston Children’s Hospital (BCH), in the Longwood Galleria Apartment building. The apartments are reserved for families whose children are receiving cardiac care and traveling more than 50 miles from BCH. The maximum occupancy for each apartment is 4 people.

If Live4Evan is able to accommodate your stay, you will receive a lease agreement and instructions for the submission of funds required to complete the application process.

There is a $40 per night charge for staying in the Live4Evan apartment. An initial fee of $200 will also be required upon completion of the application process and signing of the lease agreement.

After you have been accepted and worked through the details with the housing coordinator, payment can be submitted through Venmo (@Live4Evan). If you choose to pay via credit card, please click here. Please do not submit payment until you are contacted by the Housing Coordinator.

Application Process

1. COMPLETE APPLICATION

Please complete the application in full to help us understand your needs.

2. AWAIT ACCEPTANCE

Our Housing Coordinator will acknowledge your application and will reach out directly if there is availability during the time that you will be in Boston receiving treatment.

3. SUBMIT PAYMENT

Upon acceptance, you will receive a lease agreement along with payment details. You can make your payment through Venmo (@Live4Evan) or via credit card using the provided link.

Complete the Application

All fields marked with an asterisk* are required.

Patient Information

Patient’s First Name*

Patient’s Last Name*

Patient’s Age*

Diagnosis / Reason for Current Trip*

Applicant Information

First Name*

Last Name*

Phone*

Email*

Company*

Street*

City*

State/Province*

Zip*

Primary language:

Housing Needs

How many family members will be staying?*

Names/ages of family requiring housing*

Anticipated arrival date* (format: mm/dd/yyyy)

Anticipated departure date* (format: mm/dd/yyyy)

Comments for Housing Coordinator:

Current Treatment Information

Social Worker Name:*

Social Worker Email:

Social Worker Phone:

Treating Doctor:*

By Clicking Submit You Are Agreeing to the Following:

Live4Evan requires that all families housed in our apartment also maintain a permanent residence to return home to. By clicking submit, I hereby certify that the address above is the permanent residence for my family, and agree to notify Live4Evan immediately if that changes.
Live4Evan requires confirmation by a social worker at BCH that applicants already have appointments/procedures scheduled prior to approval for housing. By clicking submit, I hereby certify BCH to confirm or deny that my child has appointments scheduled in the Heart Center.

Housing Application

Application Process

1. COMPLETE APPLICATION

2. AWAIT ACCEPTANCE

3. SUBMIT PAYMENT

Complete the Application

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