Apply for a travel grant

Eligibility checks

These are hard requirements. We can’t fund applications that don’t meet all three, so please click each box below to confirm you meet the criteria. The form unlocks once all three are checked.

0 of 3 confirmed — confirm all three to begin.
The application

Tell us your situation.

Six sections. About fifteen minutes. Saved automatically on this device.

Confirm all three eligibility criteria above to begin the application.

Be thorough. The more detail you share on the open-ended questions, the better the board can advocate for funding when it reviews your application.

01—About You
Who is this application for?
02—Diagnosis & Centers

If you are not sure of the exact subtype, that is OK. Write what you know.

Current treatment center

Where the patient is currently being seen. Enter “None” if not yet receiving treatment.

Requested specialist center

The center you are requesting to travel to.

The more context you give, the better the board can advocate for you.

Approximate is fine. We confirm exact dates with you later.

Trip type
03—Care Team
Do you have a hospital social worker assigned?

Many cancer centers assign a social worker or patient navigator to help coordinate care. Knowing who they are helps us coordinate logistics with them.

04—Your Request
What can we help with? (select all that apply)

Select at least one. Checking multiple does not mean we cover all of them; the board reviews each request based on your situation and current funding.

Will a companion travel with the patient?

We can cover travel for the patient plus one companion (spouse, parent, caregiver).

The more specific you are, the more accurately we can match what you need.

05—Your Situation

No tax returns. No income proof. Tell us in your own words and we will trust you.

This helps the board understand your situation. One short paragraph is enough.

06—Supporting Documents

A physician letter, pathology report, appointment confirmation, or referral. Uploading now speeds review; we can request later if you do not have it handy. PDF, JPG, or PNG. 5MB max.