Cancer Care - Milton Hershey School Alumni Association

MHSAA understands the emotional and financial toll that a cancer diagnosis can bring. In 2011, we established the Cancer Care Program. The purpose is to provide grants to alumni in need of financial assistance due to the repercussions of a diagnosis, treatment, and care of the patient suffering from cancer in all of its forms.

Donate to the Cancer Care Fund

Contact Us with Questions

The funds received can be used however the recipient desires; it could be for groceries, utilities, mortgage payments, rent, a vehicle, medications, or even a vacation with their family. The bottom line is, cancer overwhelms, and stress is a cancer patients’ worst enemy. We want to alleviate some of that stress.

The applicant can be an alumnus, their spouse, or a minor child living at home. They must voluntarily disclose their cancer-related information for consideration by the Committee. The applicant must agree that the Committee may contact them to verify their cancer diagnosis and financial need in order to properly evaluate the application.

In order to serve as many applicants as possible, the maximum amount a recipient may receive in any one year is $2000. The recipient’s grant year shall be based on the anniversary date of an approved application for funds. Funds may not be issued posthumously.

Cancer Care Stats

2011Program Created

110Applications Granted

$169.000Funds Awarded

Cancer Care Applicant Form

Alumni Name(Required)

Patient's Name (If not the Alumnus/Alumnae)

Relationship to MHS Alumni

Self

Spouse

Minor child residing at home*

*Your child must be younger than 19 years old or be a full time student younger than 24 years old as of the end of the calendar year. There’s no age limit if your child is “permanently and totally disabled”*** or meets the qualifying relative test.

***Your child is permanently and totally disabled if both of the following apply: The child cannot engage in any substantial gainful activity because of a physical or mental condition and it is medically determined that the condition has lasted or can be expected to last at least a year or lead to death.

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

HIS/MHS Class of

Spouse

Email(Required)

Phone

Brief Description

Medical Information

Patient Name

Cancer Diagnosis and/or sequelae

Date of original cancer diagnosis

Date of recurrence/sequelae diagnosis:

Cancer is being

Actively treated

Unable to obtain gainful employment due to sequela(e)

Treatment Facility or Facilities

Current active treatment (include chemotherapy, surgery, and/or radiation therapy details) and/or documentation of sequelae and its impact on obtaining gainful employment (may attach current comprehensive chart notes/therapy notes if desired)

Name/Title of attending Oncologist, Oncology Nurse, or Social Worker

Printed Name/Title of Oncologist

Oncology Nurse, or Social Worker

Hospital/Clinic Name

Address

Street Address City State / Province / Region ZIP / Postal Code

Email

Phone