APPLY FOR HELP
Do you know someone or a family in need of help as they battle cancer? Please follow the steps below to see how The Adam Michael Rosen Foundation may be able to help. We will try to help as many possible because it’s our mission to do so. Together we’re Adam Strong.
- Fill out the grant application
- * Proof of diagnosis is required. This MUST be mailed (certified) or faxed directly from the primary physician of the recipient.
- PLEASE DO NOT MAIL YOUR PERSONAL MEDICAL RECORDS. We only need a letter from your physician stating that you are under his/her care and for what type of cancer.
- Provide specifics about your needs
- The Adam Michael Rosen Foundation may be able to help in many ways. Whether it be financial assistance in helping pay monthly bills or mortgage, or in other ways, the more information we have the better we can assist you. Please carefully follow the instructions on the form so that we have all the information necessary to help you.
- Mail/Email Your Completed Application
- Mail your completed application to:
- The Adam Michael Rosen Foundation
9840 International Drive
Orlando, FL 32819 - Email your completed application to PatientAssistance@AMR-Foundation.com.
- The Adam Michael Rosen Foundation
- Mail your completed application to:
- All applications are reviewed by The Adam Michael Rosen Foundation board for consideration.
- The Adam Michael Rosen Foundation is a 501(c)3 foundation new to Orlando, Florida. It was created to honor the legacy and life of Adam Michael Rosen by fighting cancer as strong as Adam did by helping others in their fight. This new organization is still growing, yet we aim to help as many people and families possible.
- The Foundation, a private foundation, will make grants to Section 501(c)(3) public charities and/or governmental agencies (for public purposes), for the Foundation’s charitable, religious, scientific, literary and educational purposes. The Foundation may make grants to other types of organizations in furtherance of the Foundation’s charitable, religious, scientific, literary and educational purposes. A particular focus for the Foundation will be to make grants to fund scientific cancer research conducted in the public interest and dog rescue programs.