Written by a parent, not a doctor. Nothing here is medical advice.

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The Jack Strong Foundation

Financial Assistance Grant

What you get

Up to $500 per request for household expenses, treatment gas, lodging and meals, medical costs and supplies, and medicines insurance does not cover. Open now, but funds are limited, so ask early.

Who starts it
You, with a signature from your social worker or doctor
How it’s sent
Email to JackStrongFoundation@gmail.com, or by post
Your time
About 30 minutes, plus waiting for the signature
Last checked
Aug 26, 2026

Before you start, check you fit

  • Your child is 17 or under.
  • Board approval is not promised.
  • Ask how long a grant decision will take.

  1. Ask your social worker or doctor for the signed formStart here. This is the part that takes the longest.

    The Jack Strong Foundation needs a signature on the form from your social worker or doctor. It has to cover 3 things. Copy this message, or say it in person at the next visit.

    Hi [social worker’s name],

We’d like to apply to The Jack Strong Foundation’s Financial Assistance Grant. Up to $500 per request for household expenses, treatment gas, lodging and meals, medical costs and supplies, and medicines insurance does not cover. They are taking applications now while funds last.

They need a signature on the form from you or someone on the care team. It has to cover current medical condition, current treatment plan, and how the treatment circumstances caused the need for financial aid. Their form and instructions are here: https://jackstrong.org/financial-assistance

Could you sign that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.

  2. Fill in their formPrint it, or fill it in on screen if the PDF allows.

    Open the application PDF ↗ Checked Aug 26, 2026

    What the form asks for

    Patient Information
    Child's NameAgeBirth DateParent or Guardian NameMailing Address / City / State / Zip CodeTelephone Number/Cell NumberEmail AddressParent/Legal Guardian Signature / Date
    Medical information · your care team fills this in
    Name of Hospital/Treatment Facility / Street Address / State / Zip CodeOncologist NameOncologist Telephone NumberType of Cancer DiagnosisDiagnosis DateGive a summary of current medical condition and plan of treatment that caused the need for financial aidSocial Worker Signature / Doctor Signature / Printed Name / Date / Social Worker Email Address

  3. Email your application and the signed form togetherTo JackStrongFoundation@gmail.com. Or post it to the address on the form.

    • Send all completed and signed pages by email to JackStrongFoundation@gmail.com or by mail to The Jack Strong Foundation, P.O. Box 395, Bridgeport, WV 26330.

    Email: JackStrongFoundation@gmail.com

    Subject: Financial Assistance Grant application, [child’s name]

Hello,

Attached are our completed application and the signature from [social worker’s name] at [hospital]. Please let me know that it arrived and if anything is missing.

Thank you,
[your name] · [phone]

After you send

Ask for confirmation that both pages and all signatures were received. No board-review timeline is published; follow up with the foundation if no acknowledgment is received.

Full record, as published