Support for Patients and Caregivers

EIA Grant Details

About the Grant

Application Checklist

Empathy in Action provides grants for tangible assistance (i.e., goods, services and/or funds) to brain tumor patients and caregivers in accordance with our charitable purposes. Awarding of grants shall be based on determination of financial need.

Patients whose annual household income exceeds 300% of the Federal Poverty Guidelines are ineligible for assistance under this program.

Grants up to $1000 will be awarded. No more than one grant will be issued to the same household.

Application Checklist

**Incomplete applications will not be considered**

MUST include the following:

1. Signed application

2. Signed consent form

3. Copy of driver’s license or state identification

4. Copies of all income sources

5. Copies of all current bills/creditor statements

6. Copies of the most current bank statements – 3 months

7. Confirmed diagnosis and treatment by Nurse Navigator/Social Worker

Please send completed application and consent form to Winks from GOD!, P.O. Box 5186, Suffolk, VA 23435 or email to support@winksfromgod.org.

Empathy in Action (EIA)

EIA Grant Details

About the Grant

Application Checklist

Application Checklist

Application Checklist

Application Checklist

Application Checklist

Application Due Date

Empathy in Action (EIA)

EIA Grant Details

About the Grant

Application Checklist

Application Checklist

Application Checklist

Application Checklist

Application Checklist

Application Due Date

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