Audrey Anne Foundation Grant Application

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Audrey Anne Foundation Bereaved Family Application

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Audrey Anne Foundation
Grant Application

The foundation’s Grant Program provides essential financial assistance and therapy resources to families affected by pediatric cancer. It helps ease the financial strain of treatment while ensuring emotional support is accessible to those in need.

Our support may include:

  • Medical & Household Expenses
    – Assistance with hospital bills, medications, rent, utilities, and daily necessities.
  • Travel & Lodging
    – Funding for transportation and accommodations during out-of-town treatments.
  • Caregiver Support
    – Financial aid for parents who must take unpaid leave to care for their child.
  • Therapy Resources
    – Access to professional counseling, including individual and family therapy, grief support, and stress management.

Through this program, the foundation helps families focus on healing, offering both financial relief and emotional support during life’s most challenging moments.

Applicant & Family Information

Family & Financial Situation

Type of Assistance Requested

Consent & Verification

Audrey Anne Foundation
Bereaved Family Application

The foundation’s Bereaved Family Support Program provides compassionate care and resources for families coping with the loss of a child. Through emotional support, counseling, and community connections, we help families navigate grief and find healing.

Our support may include:

  • Grief Counseling
    – Access to professional therapists for parents and siblings.
  • Bereaved Parent Support Groups
    – A safe, judgment-free space to connect with others who understand this profound loss.
  • Memorial & Legacy Programs
    – Opportunities to honor and celebrate a child’s life.
  • Healing Retreats & Workshops
    – Therapeutic events designed to help families process their grief in a supportive environment.
  • One-on-One Peer Support
    – Connections with parents who have walked a similar journey.

By offering emotional and community support, the foundation helps bereaved families find comfort, strength, and a path toward healing.

Applicant Information

Child Information

Support Needs

Please indicate which types of grief support you are interested in (select all that apply):

Have you received grief counseling or support since your child’s passing?

Are you currently connected to any support groups or therapy providers?

Is this a one-time request or would you be open to ongoing support opportunities?

Memorial Participation

Would you be interested in participating in memorial events or contributing to legacy projects in your child’s honor?

Would you be open to sharing your story publicly (with consent) to help raise awareness?

Consent & Verification

Do you confirm that the information provided is true and accurate to the best of your knowledge?

Do you consent to being contacted for follow-up or additional support opportunities?

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Contact Us

Need support or want to get involved? We’re here for you.

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