The Cassandra Fund Application - Living Beauty Cancer Foundation


2024 Cassandra Fund Application
We are grateful to be able to share with you The Cassandra Fund, a designated fund in memory of Living Beauty Cassandra Williams. One of Living Beauty’s angels met Cassandra a number of years ago, and Cassandra and her journey had a moving and lasting impact on her. She especially admired Cassie’s approach to life, and the way in which she handled the challenges she faced. As a result, our angel came to us and asked to start The Cassandra Fund, which is used to meet the special financial needs of our Living Beauties. During this time, the Board of Directors has committed some funding to The Cassandra Fund to help Living Beauties with critical financial needs related to the current crisis. Living Beauties are eligible to apply for up to $500 once per year to meet a financial need. Funds are limited and individual grants will be based on need and available funds. Please fill out the application to the best of your ability. If your situation is an emergency, please indicate in the application below.
Are you a registered Living Beauty? *	Yes No
First Name *
Last Name *
Email *
Address 1 *
Address 2
City *
State/Province *
Zip *
Birth Date *	// (mm/dd/yyyy)
Phone *
Type of Cancer(s) *
Year Diagnosed with Cancer *
Source of Income (Select Range) *	Child/Spousal support Disability Income from a partner who is part of household Other Social Security Unemployment Wages from work
Approximate Annual Household Income *
How many people are in your household? *
Has your cancer impacted your household income? *
Has your cancer experience impacted your household expenses? *
Need Amount: *	$500 $400 $300 $200 $100
Purpose: *	Groceries Rent/Utilities Health Insurance Other
Other (if different from above):
Other information we should know: *
Check should be mailed to the address above *	Yes No
If the check should be mailed to another name/address (i.e. landlord or bill vendor), please list it here:
Please click the submit button below. If you have any questions, please contact [email protected]

2024 Cassandra Fund Application