With growing concern over the increase in stress, anxiety, depression and other mental health triggers, The Mental Illness and Kindness Endowment (MIKE) has partnered with Deas Consulting to help make a difference across Lake County.  Joe Ziler, founder of the MIKE Endowment – named in memory of his brother, Mike Ziler, who committed suicide – has earmarked $2500 to provide financial assistance to local residents who have a need for immediate mental health counseling.  The grant will cover the initial appointment with well-known councelor, Dr. Isaac Deas of Deas Consulting.

In order to schedule your appointment and confirm qualification of your grant, covering your first appointment with Dr. Deas, please fill out the below information which will be forwarded privately directly to Dr. Deas. You will receive a response from his office to schedule and confirm your grant within two (2) business days.

PLEASE NOTE: By submitting this form you acknowledge the following:

·  While it is the absolute intention of the MIKE Endowment to provide the greatest privacy possible, you are providing your name and contact information with no expectation of privacy and recognize that such provided information is not covered by HIPAA or any other privacy acts.

·  The MIKE Endowment reserves the sole right to determine or reject any requests for grant coverage of an appointment without any explanation prior to the appointment so that no cost will be incurred by the requestor.

·  This grant does not discriminate based on race, age, gender, religion, physical limitations. Those under the age of 18 MAY be required to obtain adult permission prior to appointment as determined by Deas Consulting.

·  This grant and relationship with Deas Consulting is not intended for The MIKE Endowment to identify nor diagnose any level of mental health condition and the requestor/grantee holds The MIKE Foundation harmless.

IF YOU HAVE IMMEDIATE CONCERNS OR ARE EXPERIENCING THOUGHTS OF SUICIDE, PLEASE CALL 911 OR THE NATIONAL SUICIDE HOTLINE AT 800-273-8255 or text HOME to 741741

Please provide a very brief explanation (up to 100 characters) explaining why you are seeking this MIKE/Deas counseling grant. ** PLEASE BE SURE TO INCLUDE A PHONE NUMBER in this field.