Apply for a Warrior Grant

Apply for a Warrior Fund Grant

Warrior Fund Application

Complete the form below to apply for a $2,500 Warrior Fund grant. After you submit, you’ll receive an email with instructions for providing physician verification.

Who is completing this application?

I am the Warrior I am completing this application for someone else

Warrior's first name

Warrior's last name

Your first name

Your last name

Phone

Warrior's mailing address

Warrior's county

Date of glioblastoma diagnosis

Treating physician

Physician verification

I understand that KBStrong will require verification of the glioblastoma diagnosis from the Warrior’s physician before the grant can be approved.

How would this grant help?

Applicant confirmation

I certify that the information provided in this application is accurate to the best of my knowledge, and I give KBStrong permission to contact me regarding this application.

Photo & story consent

I understand that KBStrong shares Warrior photos and stories to raise awareness, inspire support, and reach more people affected by glioblastoma. I give KBStrong permission to use the photos and information I provide for these purposes, including on its website, social media, and other promotional materials. If I am submitting on behalf of someone else, I confirm that I have the authority or permission to share their photos and story and consent to their use.

Grant Details

Who is Eligible?

The Warrior Fund is available to individuals diagnosed with glioblastoma who live in one of the following 10 Central Illinois counties:

Tazewell, Peoria, Woodford, McLean, Fulton, Marshall, Mason, McDonough, Knox & Logan

What happens next?

1 Submit your application

Complete the form with your basic information.

2 Send physician verification

After you submit the form, you’ll receive instructions to reply by email with a letter from your physician verifying the glioblastoma diagnosis.

3 KBStrong reviews your application

Once your application and physician verification are received, KBStrong will review everything and follow up.