This grant application is ONLY for women with breast cancer who are in need of financial assistance due to dire necessity and need assistance to cover co-payment for cancer medication regardless of stage or phase of breast cancer. Assistance provided as funding is available; $30 – $50 per request. Your personal information will not be shared with others. Women will be asked to self-identify, and/or if not already a member of the Cancer Tamer community, will be asked to provide a letter from their hospital social worker that confirms breast cancer diagnosis. Membership with Cancer Tamer is not required. Due to the novel coronavirus, this Grant will be paid through PayPal or via check. If you do not have a PayPal account, we will work with you to provide the assistance via other means. No one is entitled to this financial assistance and designation is solely at the discretion of the Foundation while funds are available. Cancer Tamer Foundation is merely trying to assist other women with breast cancer during this crisis as we know what it’s like to need help. Individuals will be selected on a first come basis. Preference will be given to single mothers, those with single incomes, seniors, and those with highest level of need. This assistance is possible through the generosity of other community members and other supporters of Cancer Tamer. You too can help by donating here: PayPal.me/CancerTamer

Name: _____________________________________________________________________

Address: ___________________________________________________________________

Phone: _________________ email: ______________________________________________

Date of diagnosis: _____________________Diagnosis: ______________________________

Stage: ________________ Age ___________

Single income household: (Yes/No) ______________ Children #: __________________

If you are currently undergoing treatment, please advise what is being done.

____________________________________________________________________________

Please share a little information as to why you are applying for this assistance. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Copy & Paste this Grant Application and email it to us at: info@cancerTamer.org

Please understand that application does not guarantee assistance will be available. We are making every effort to raise funds to help women with breast cancer. Please help us spread the word and encourage others to apply and/or donate. Every little bit helps! Note: preference will be given to women with the highest need regardless of age, nationality, ethnicity, sexual orientation, stage or phase of diagnosis. Up to $50 will be provided to each woman. Your donation to assist other women would be greatly appreciated but not required to become a recipient of this grant. Donation can be made at: PayPal.me/CancerTamer

Questions, please contact us. Stay safe and healthy.

Live with ROARING passion,

Dr. Charley Ferrer
CEO & President
Cancer Tamer Foundation