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Application for Assistance

Please complete the attached application thoroughly.  Please note that no cash awards will be given directly to recipients.  If requesting assistance with outstanding bills/invoices, etc., please scan and upload invoice and statements, making sure that all pertinent account information and outstanding balances are clearly legible.  This will help North Valley Sparrow Foundation expedite the review of your application and timely payments on your behalf.  
​If you are only requesting gift cards (for travel, groceries, gas or meals), please thoroughly describe the estimated amounts requested for each and the timeframe in which they will be used (over the course of a week? A month? 3 months?)  
​
application_for_financial_assistance.pdf
File Size: 315 kb
File Type: pdf
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With the many donations from our events and sponsors, this was our very first cancer patient that we were able to support! These are the smiles that make everything worth it.

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North Valley Sparrow Foundation is a 501(c)(3) non-profit. Tax id 82-1624777. Your contributions are tax deductible.
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