APPLY FOR ASSISTANCE
Assistance Request Application
Hope for Autumn Foundation financially assists families battling childhood cancer that are being treated at Children’s Hospital of Alabama. Requests for assistance are evaluated on a case by case basis by the Executive Board of the foundation and are honored based on available funding and other factors. Examples of approved requests in the past have been payment of rent, utilities, or medical expenses, gas cards, travel vouchers, gift cards to grocery stores, and funeral expenses. Please fill out the form as completely as possible, and allow up to two weeks for your request to be processed. If emergency assistance is needed, please email Amanda Knerr, executive director, at email@example.com.
All applications will be reviewed on a case-by-case basis and a final determination will be made based upon other applications submitted to Hope for Autumn Foundation and the availability of funds. You will not be discriminated against based on race, religion, color, national origin, sex, or political affiliation.