Application
Apply
Apply
For Applicants
If you or someone you know would like to apply for a grant from the AGSS Memorial Foundation, please see the directions.
Fill out the Andrea’s Foundation Grant Application either in print or digitally. Make sure that the application is signed by the patient. DIGITAL SIGNATURES ARE NOT ALLOWED BY LAW.
BY EMAIL: Send a scan of your application to info@agssmemorialfoundation.org BY FAX: Fax your application to 805-477-9814 BY MAIL: Send a copy of your application to AGSS Memorial Foundation 1746-F South Victoria Ave. #245 Ventura, CA 93003
Note: Please download the form using the button below, print it, fill it out, and upload the completed form using the submission form provided below. Do
Response time averages 1-2 weeks
Complete Your Form
If you or someone you know would like to apply for a grant from the AGSS Memorial Foundation, please see the directions below.
Fill out the Andrea’s Foundation Grant Application either in print or digitally. Make sure that the application is signed by the patient. DIGITAL SIGNATURES ARE NOT ALLOWED BY LAW.
Send in the application
send a scan of your application to info@agssmemorialfoundation.org
BY MAIL: send a copy of your application to AGSS Memorial Foundation1746-F South Victoria Ave. #245 Ventura, CA 93003
Response time averages 1-2 weeks
Process Timeline
We Receive Your Application
Verification of need.Our team contacts your medical provider (and nursenavigator, if applicable) to confirm need, treatment, and diagnosis.
Our board of directors reviews applicant need profile, recommended donation amounts, and votes.
If approved, a check is sent to the grant applicant via mail.
Local & National Resources
A list of local and national resources available for cancer patients and their families.
Verification
Verification of need. Our team contacts your medical provider (and nurse navigator, if applicable) to confirm need, treatment, and diagnosis.
First StepReview
We review your submitted form to begin the verification process.
Second StepConfirmation
If approved, a check is sent to the grant applicant via mail.
Final StepWho we serve
Senior Citizens
Children
Unhoused
Andrea’s Foundation is committed to serving unhoused individuals battling cancer in Ventura County. While undergoing cancer treatment, a safe and comfortable living environment is crucial. Andrea’s Foundation has provided grants to citizens battling cancer while living in cars or vans. Often, a grant from Andrea’s Foundation or connection to housing resources can provide comfort,
Underserved Communities
Agricultural Workers