Lifestyle Assistance Fund Application

lifestyle assistance fund application

Please complete the questions below. Once completed, you will receive a welcome email and/or call within 1 week of submission (be sure to check your spam folder if you do not receive it). If you are completing this on behalf of someone else be sure to enter the CANCER WARRIOR’S address and the phone/email address for the person who would like to receive emails about coordinating services on their behalf (either the warrior or another designated contact person).

Lifestyle Assistance Fund is for any single parent in active treatment and their dependent children.