Apply for Assistance

Supporting You in Your Cancer Journey


At Connected Through Cancer Foundation, we understand that a cancer diagnosis can bring overwhelming emotional, physical, and financial challenges. Our mission is to provide tangible support to individuals and families navigating this journey. Whether you need assistance with medical-related expenses, transportation, wellness resources, or everyday essentials, we are here to help.


Who Can Apply?

  • Individuals currently undergoing cancer treatment
  • Cancer survivors facing financial hardships
  • Caregivers supporting a loved one through cancer
  • Families in need of assistance due to the impact of a cancer diagnosis


How It Works

  1. Complete the Application – Fill out the form with accurate details about your situation and the type of assistance you need.
  2. Submit Supporting Documents – Provide verification of your medical diagnosis and any relevant financial information.
  3. Application Review – Our team will carefully assess your request based on need, available resources, and alignment with our mission.
  4. Receive Support – Approved applicants will receive assistance in the form of grants, resources, or direct support tailored to their needs.


Apply Today

We are committed to health equity, emotional support, and practical assistance for those affected by cancer. If you or a loved one need help, please fill out the application below, and our team will review your request as soon as possible.


Note: Submission of this form does not guarantee funding. Assistance is provided based on availability and individual circumstances.


CTC APPLICATION FOR SUPPORT

YOUR INFORMATION

MEDICAL INFORMATION

FINANCIAL REQUEST

ACKNOWLEDGEMENT


Submission of this form does not guarantee funding. The connected Through Cancer Foundation reserves the right to evaluate applications and disburse funds based on the availability of resources and the alignment of the request with the foundation's mission.


Declaration and Disclaimer:


I, the undersigned, declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that the Connected Through Cancer Foundation may use this information to evaluate my eligibility for financial assistance. I also acknowledge that the Connected Through Cancer Foundation does not pay hospital bills. The funds requested will be utilized for other related expenses and support as described in this application.



Website Disclaimer:



By submitting your story or testimonial through the Connected Through Cancer Foundation (CTCF) website, you hereby grant CTCF permission to share your story on its website, social media platforms, promotional materials, and other related channels. This permission includes, but is not limited to, the use of text, images, and any other media content provided by you.


You understand and agree that your story may be edited for clarity, length, or other considerations deemed appropriate by CTF. However, CTCF will make reasonable efforts to maintain the authenticity and integrity of your narrative.


Please be aware that once your story is shared, it may be accessible to a wide audience, including individuals who visit the CTCF website or engage with its content on various platforms. CTCF will respect your privacy and will not disclose personal contact information without your explicit consent.


By granting this permission, you affirm that you have the right to share the content submitted and that it does not infringe upon the rights of any third party. You also release TC from any claims or liabilities arising out of the use of your story as described herein.


Connected Through Cancer Foundation appreciates your willingness to contribute to our community and share your experiences. If you have any concerns or wish to withdraw your permission, please contact us promptly at ctcftx@gmail.com


The Connected Through Cancer Foundation is a tax-exempt 501 (c)(3) nonprofit organization, 803.05.5689,


Tax ID #83-1066048.