EMERGENCY FUND

Here at INDY, we are all too aware of how cancer affects you physically, emotionally and financially. That is why we have created an emergency fund which allows cancer warriors to request a gas or grocery gift card to help during their cancer journey. All types of cancer, age groups, genders, races and religions within the state of Minnesota will be considered. That being said, our ultimate goal is to reach out and support those in the trenches of their cancer battle. All recipient requests will be reviewed and fulfilled on a first come first serve basis monthly. Past warriors are eligible to apply. Warriors are eligible for (1) grant per year but can apply/request more than once, until selected.

request gas or grocery gift card

Requests can be made on warrior's behalves. Please fill out to the best of your ability. Requests will be filled monthly on a first come, first serve basis. Warrior's can receive (1) grant per calendar year. Past INDY warriors are eligible.

* Indicates required field

Name of Warrior *

First

Last

Warrior's Address *

Line 1

Line 2

City

State

Zip Code

Country

Warrior's Email *

Warrior's Phone Number *

Who is this request for? *

Name of Requestor & Relationship to Warrior *

Requestor's Email *

Requester's Phone Number *

Type of Cancer *

Treatment Center/Name of Oncologist *

Type of Gift Card *

Gas Gift Card Grocery Gift Card Either is great

Request Amount *

Tell us about your cancer journey. *

How would this gift card help you and your family? *

Has this cancer diagnosis created job loss, travel requirements, extended stays etc? (Explain) *

If you are making this request for someone, have they been notified of the request? *

Not yet, but I plan to let them know Yes, they are aware No, I would like it to be a surprise in the mail.

How did you hear about us? *

Submit