ARE YOU ELIGIBLE TO APPLY?

CWI can only review substantiated Preliminary Applications from individuals seeking help with funding for cancer treatments.

Eligibility Requirements

In order to apply you must meet all 3 of these requirements:

  1. Have a cancer diagnosis from a doctor, hospital or treatment center.

  2. Be seeking help with funds to pay for a cancer treatment from a doctor, hospital or treatment center.

  3. Provide a current bill directly related to cancer treatment from a doctor, hospital or treatment center.
    Please note: bills from collection agencies are not eligible for consideration.

(Please be aware that CWI does not consider applicants seeking funds for: diagnostic testing/scans, food, gas, utilities, rent, mortgage, or Home Care.)

If you meet each of the 3 requirements above, fill in and submit our Preliminary Application Form below to begin the Application Review Process. Please note that CWI can not respond to Preliminary Applications that are incomplete or do not meet our Eligibility Requirements.

PRELIMINARY APPLICATION

I currently have a cancer diagnosis from a doctor, hospital, or treatment center. *
I am seeking funds to help pay for a cancer treatment from a doctor, hospital, or treatment center. *
I am able to provide a current bill directly related to cancer treatment from a doctor, hospital, or treatment center. *
PLEASE NOTE: BILLS FROM COLLECTION AGENCIES ARE NOT ELIGIBLE FOR CONSIDERATION.
Name *
Name
Phone *
Phone
Check the box below if you would like to be added to CWI's Private Prayer List
I certify under penalty of perjury that all information provided in the application is true and correct. I hereby acknowledge that any funding received from Cancer Warrior Inc. shall be used according to requirements set by Cancer Warrior Inc.

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