Please complete the following application to be considered by the Wellsville Friends Foundation to receive assistance for medical needs (i.e., medical bills, living expenses, and travel expenses) due to illness.
This application can be submitted at any time to be considered for funds provided by WFF. All information submitted is confidential and only reviewed and discussed by the WFF board members.
The WFF board reserves the right to ask for documentation of financial needs and additional information in regards to all applications.
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form.
There is a limit of 1 application per family each calendar year.
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