Apply for the Nancy Falco Fund

Eligibility Criteria

  • Applicant must be a current Georgia resident.
  • Applicant must have a current cancer diagnosis; may be undergoing treatment or recently completed chemotherapy and/or radiation.
  • Application requirements must be completed by the applicant or an immediate family member.
  • Applicant must submit completed application along with supporting documentation no later than 8/1/17. Scan all documents and email to joline@nancyfalcofund.org
  • Application must include proof of relationship such as Birth Certificate, Marriage license or Power of Attorney. Please note that proof of relationship is only needed if someone other than the person with cancer is filling out the application.

Scan and email all documents to joline@nancyfalcofund.org.
Scan and email all documents to joline@nancyfalcofund.org.
Scan and email all documents to joline@nancyfalcofund.org.
Including but not limited to medical expenses, notice of loss of income due to illness

© 2017 Dancers Unite Against Cancer | Nancy Falco Fund Limited is a 501(c)(3) Non-profit organization