Team Breast Friends Grant

Making a positive difference in lives impacted by breast cancer,
bringing awareness through our efforts.

How do I apply?
Simply answer the questions below and submit.
We will determine if you meet our guidelines and contact you with your award if so.

Fill Out Our Application for Financial Assistance

Funding Request

  • Application for Financial Assistance Team Breast Friends Grant How do I apply? Simply answer the questions below and submit. We will determine if you meet our guidelines and contact you with your award if so. Team Breast Friends 1153 Hampton Court Iowa City, IA 52240 319.530.1712
  • To complete this application you must attach a copy from the treating physician's office indicating you are receiving treatment and that you give Team Breast Friends permission to verify this information needed. If you do not have this right now, you can mail it to us at our address above. All candidates must be receiving active breast cancer treatments, provide verification of a cancer diagnosis, and documentation of your financial need upon request.
  • Drop files here or
    Accepted file types: jpg, pdf, doc.
  • The above information is true, factual and accurate to the best of my knowledge. I understand it may be necessary to be called for further information. By typing my name below, I hereby consent to the use and disclosure of my personal and health information contained on this form by Team Breast Friends.
  • This field is for validation purposes and should be left unchanged.
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