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Application Information
To apply for financial assistance from Smiles for Sophie Forever, in partnership with Jenna's Rainbow Foundation, please first read the requirements to the below right. Then complete the online application below OR print out the PDF via the link below. Once PDF is complete, either scan and email it and all required documentation or mail in with the required documentation.

Subject to availability of funds for grants, applications are reviewed by our Grant Committee monthly.You will be notified by our Grant Committee if there is any missing documentation and/or if you have been approved for a family grant.

Email submissions may be sent to: grants@smilesforsophieforever.org

Mail submissions may be sent to:
Smiles For Sophie Forever
ATTN: Laura Koski
31722 Leeward Ct
Avon Lake, OH 44012

 

  
Financial Assistance Application
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  • Child Info     Parent/Guardian Info     Financial Info      Release     Document Upload

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Grant Application
Download Paper Copy of Application

Please read these requirements before completing the application.

1. Any family with a child diagnosed with brain cancer prior to the child’s 18th birthday is eligible for consideration. We will consider applications received within six months of a child's death.

2. The applicant must be the parent or legal guardian of the diagnosed child and the primary caregiver of the child. A photocopy of the child’s birth certificate or other evidence of parental or guardian status must be submitted with the application. Applicants must be U.S. residents.

3. The application must be accompanied by a signed letter from the child’s treating physician on that physician’s letterhead stating the child’s full name, date of birth, diagnosis and date of last treatment provided.

4. All sections of the application must be completed and all accompanying documents must be submitted in order for our Grant Committee to review the request. Failure to provide complete information is a basis for denial of an application.

5. Assistance may be requested once per calendar year. Each request for assistance requires submission of a new application.

6.   Please contact Grant Committee Chair, Laura Koski, at grants@smilesforsophieforever.org if you have any questions concerning the application process.

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