Apply for a Grant from Cancer Coalition of Southwest Colorado

Guidelines

The Cancer Coalition of Southwest Colorado will provide a grant of up to five hundred dollars ($500.00) for qualifying individuals with cancer. Funding is based on availability of coalition funds and eligibility based on the application below. Funds are available for non-medical expenses only. This grant is non-renewable; individuals may only receive it one time.

Residency

The applicant must reside in Southwestern Colorado in Archuleta, La Plata, or San Juan County or receive treatment at the Cancer Center in Durango.  (Montezuma and Dolores Counties use a different organization; if you need this information, contact us).

Medical

The applicant must be currently in treatment or have completed treatment within the past three months.

Financial

Total household income at the time of application may be equal to or less than $50,000 annual income. If income exceeds this amount and you feel there are special circumstances regarding your current status, please attach a letter of explanation and your request will be considered. Current monthly total household income will also be considered. Total household income includes, but is not limited to, such income as all wages, retirement pension, alimony, worker’s compensation, Social Security, and employer disability insurance.

Review Process

Review of applications will be conducted by at least two members of the Cancer Coalition of Southwest Colorado.   Applications will be reviewed and processed within two weeks of receipt.

Privacy

The coalition will maintain confidentiality of information provided on the application. The applicant must specify on the application the requested method of contact by the coalition review committee or any other individuals involved in your care such as family, friend or caretaker that the coalition may contact.

Distribution of Emergency Funds

Once approval of funding is completed, the applicant or the applicant’s designated contact person will be notified. Payments will be made directly to the vendor(s), i.e. utility company, grocery store, rental agency, etc., up to the approved amount as requested by the applicant. Please list vendor and exact amount on the application form. No checks can be made directly to the individual.

Guidelines

The Cancer Coalition of Southwest Colorado will provide a grant of up to five hundred dollars ($500.00) for qualifying individuals with cancer. Funding is based on availability of coalition funds and eligibility based on the application below. Funds are available for non-medical expenses only. This grant is non-renewable; individuals may only receive it one time.

Residency

The applicant must reside in Southwestern Colorado in Archuleta, La Plata, or San Juan County or receive treatment at the Cancer Center in Durango.  (Montezuma and Dolores Counties use a different organization; if you need this information, contact us).

Medical

The applicant must be currently in treatment or have completed treatment within the past three months.

Financial

Total household income at the time of application may be equal to or less than $50,000 annual income. If income exceeds this amount and you feel there are special circumstances regarding your current status, please attach a letter of explanation and your request will be considered. Current monthly total household income will also be considered. Total household income includes, but is not limited to, such income as all wages, retirement pension, alimony, worker’s compensation, Social Security, and employer disability insurance.

Review Process

Review of applications will be conducted by at least two members of the Cancer Coalition of Southwest Colorado.   Applications will be reviewed and processed within two weeks of receipt.

Privacy

The coalition will maintain confidentiality of information provided on the application. The applicant must specify on the application the requested method of contact by the coalition review committee or any other individuals involved in your care such as family, friend or caretaker that the coalition may contact.

Distribution of Emergency Funds

Once approval of funding is completed, the applicant or the applicant’s designated contact person will be notified. Payments will be made directly to the vendor(s), i.e. utility company, grocery store, rental agency, etc., up to the approved amount as requested by the applicant. Please list vendor and exact amount on the application form. No checks can be made directly to the individual.

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