1. |
Applicant must provide a letter from his/her treating physician on that physician's official letterhead documenting the type of cancer diagnosed, the treatment prescribed, and a statement that the applicant is currently undergoing treatment. |
2. |
Recipients may only receive funds once per year, but if the treatment extends beyond one year from the date of approval by the Rosemary A. Hockney Memorial Foundation disbursement committee, or if cancer treatment becomes necessary at a later date, the recipient may re-apply at that time. To re-apply, applicants only need to submit a letter from his/her treating physician stating that treatment is still in progress or has started again. |
3. |
Applicant must be able to demonstrate financial need by supplying the most recent pay stub and the previous calendar years W-2 or tax filing. |
4. |
Applicant must be a U.S. Citizen and have a social security number. |
5. |
The applicant must be an immediate family member of a child that has been diagnosed with cancer or someone else within the immediate family has been diagnosed with cancer. |
| 6. |
Applicant must include a clear photo of the child or parent that is diagnosed with cancer. Applicant must also be willing to sign a release allowing the foundation to publish on our website/newsletter a picture, brief case history and grant summary. |
| *The procedures for disbursement of funds do not include cash. These funds are disbursed directly to the facilities, organizations or insurance carriers for treatment unless otherwise approved by The Rosemary A. Hockney Memorial Foundation disbursement committee. |
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