Stephanie Vest Foundation Grant Application
Instructions: Please enter your information and answer all questions.

*To be eligible, applicant must be living and undergoing active treatment with an oncologist. Also must be a resident of the Kansas City Metropolitan Statistical Area (MSA) which includes the following 14 counties:

JACKSON
JOHNSON
MIAMI
CASS
LINN
BATES
WYANDOTTE
LAFAYETTE
RAY
CLAY
PLATTE
LEAVENWORTH
CLINTON
CALDWELL
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  • Please note, a written diagnosis from treating physician will be required.
  • Bank statements may be requested to verify information.
  • Please list the following recurring monthly expenses:
    Electric, Gas, Water, Food, Cable/Internet, Cell Phone, Auto/Home Insurance, Health Insurance, Childcare, gasoline/transportation, Misc. (diapers, clothes, toiletries, uniforms, etc)
  • Please include company name, policy number and contact info.
  • Please list personal website, blog, Facebook page, CaringBridge site, etc.
  • -I certify that information contained in this application is true and complete.
    -I authorize the verification of any or all information listed above.
    -The Stephanie Vest Foundation may choose to pay bills directly.
    -Please note, the average financial assistance given by the foundation is $1,000.
    -I understand that false information will eliminate me from the application process and any future assistance.

    ** The Stephanie Vest Foundation CANNOT pay for medical bills. **
  • Our Director of Financial Aid will screen each application and schedule all personal interviews. Applications and interviews will be reviewed and approved/denied by the Board of Directors at the monthly Board meetings.
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