Jordan Wilcox Pediatric Cancer Fund

Jordan Wilcox Pediatric Cancer Fund

Grant Application
The family of Jordan Wilcox set up this fund with CFTT to help families that have a child being treated for cancer. CFTT provides funds for medical care not covered by health insurance, accommodations, and travel expenses to make it possible for families in need to obtain necessary care for their child and to be with them when out of town hospitalization and treatment is required.
General Criteria
- Child must be age 18 or younger and currently being treated for cancer.
- Must be a resident of Bradford County PA, Sullivan County PA, Tioga County PA, or Tioga County NY.
- In need of financial assistance.
- Up to $400 per person is available.
Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Diagnosis*
Parents Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

General Criteria