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    Hippa Form

    Grant Application

    Photo Release Form

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    [av_toggle title=’Who is eligible to receive a grant?’ tags=” custom_id=” av_uid=’av-48pxz’]

    • If you are a women who lives in Worcester County.
    • If you are undergoing treatment.
    • Individual income of $25,000 or less or a total family annual income of $42,000 or less.

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    [av_toggle title=’What we provide’ tags=” custom_id=” av_uid=’av-3wyer’]

    Eligible women may receive up to $1,000 per calender year to assist with resources related to their breast cancer diagnosis and treament. Please note we do not provide direct monetary assisstance to applicants. While Pawsitively 4 Pink strives to offer funds up to $1,000 per calender year we reserve to limit or institute a cap based on available funds.
    Examples of some of the ways we help:
    • paying rent/mortgage
    • electric bills
    • gas cards
    • oil
    • transportation fees

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    [av_toggle title=’Application Guidelines’ tags=” custom_id=” av_uid=’av-3exev’]

    To apply for the Pawsitively 4 Pink grant, please provide the following:
    • Completed application
    • Letter from Doctor that you are working with, on official letter head.
    • Proof of income
    If you have any additional questons abou the Pawsitively 4 PInk’s grant, please contact Michelle Power at 774-696-0203 or Pawsitively4Pink@Gmail.com

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    [av_toggle title=’Where does Pawsitively 4 Pink get the financial resources to help?’ tags=” custom_id=” av_uid=’av-2fzgr’]

    Pawsitively 4 Pink will hold four major fundraisers per calender year, and several smaller fundraisers throughout the year.
    Local and national businessess.
    Individual contributors.

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    [av_toggle title=’How many times can 1 person apply for a grant?’ tags=” custom_id=” av_uid=’av-2d0d7′]

    At this time we are allowing one applciation per year up to $1,000.
    We limit the number of times a person applys and the amount of money alloted to each individual based on the amount of money P4P is able to raise throughout the year.

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    [av_toggle title=’Is my town or city part of Worcester County?’ tags=” custom_id=” av_uid=’av-1fu2r’]
    Please go to www.massachusetts.hometownlocator.com to see if your town is a part of Worcester County.
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    [av_toggle title=’How long will it take for a decision around my grant?’ tags=” custom_id=” av_uid=’av-11d5z’]

    Once we have received a completed application, signed hippa form and a letter from the doctor treating you, the decision could take up to 4 weeks.
    We do try and respond as quickly as we can, knowing that financial stress can delay the healing process.

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