Christmas Without Cancer Assistance

Support may be granted on a one-time basis, contingent upon the specific needs assessed by a representative of
Christmas Without Cancer. Applicants will be evaluated only if all criteria are satisfied and all necessary
documentation is provided. Noncompliance will result in an automatic rejection of the application. As a local
nonprofit organization that relies entirely on donations, our budget varies each month. Consequently, we cannot
guarantee assistance.

Patient must reside in Illinois and be seeking treatment in Illinois (within a 30-mile radius of Orland Park, Illinois 60462).
Patient must be in ACTIVE cancer treatment. Active treatment is defined as “in surgery and follow-up surgery, radiation, and/or chemotherapy.” Individuals who have completed, declined, or discontinued treatment are not eligible for assistance from Christmas Without Cancer.
Healthcare provider (physician, nurse, social worker, etc.) must sign the patient’s application form and MUST include a letter on facility letterhead confirming that the patient is in ACTIVE cancer treatment.
Application MUST include a CLEAR photocopy of your valid Illinois Driver’s License or State I.D. A guardian applying on behalf of a child or ward must submit a photocopy of their own valid Illinois Driver’s License or State I.D. A Guardian applying on behalf of a ward must submit a copy of the Letters of Guardianship.
Application form must be completed in full and submitted via mail, email, or fax.
Assistance will not be received without the patient’s direct knowledge except in circumstances where the patient is a minor child or an incapacitated adult.

Download Fillable Application

Download Printable Application

Kindly send the completed application to:
*Email: christmaswithoutcancer@gmail.com
*Fax: 708-658-1536
*Mail: 15418 S. Harlem Ave. Orland Park, IL 60462

*If you choose to email your application, please ensure it is in PDF format. We cannot accept image files or separate attachments. We need one document with all required information which includes application, driver’s license and note on facility letterhead. Failure to do so may cause your application to be rejected.

Cities We Assist

The cities we assist are listed below in alphabetical order!

Addison IL
Alsip IL
Bedford Park IL
Bellwood IL
Bensenville IL
Berkeley IL
Berwyn IL
Blue Island IL
Bolingbrook IL
Bridgeview IL
Broadview IL
Brookfield IL
Burbank IL
Burnham IL
Burr Ridge IL
Calumet City IL
Calumet Park IL
Channahon IL
Chicago Heights IL
Chicago IL
Chicago Ridge IL
Cicero IL
Clarendon Hills IL
Country Club Hills IL
Countryside IL
Crest Hill IL
Crestwood IL
Crete IL
Darien IL
Dolton IL
Downers Grove IL
Elmhurst IL
Elmwood Park IL
Elwood IL
Evergreen Park IL
Flossmoor IL
Ford Heights IL
Forest Park IL
Frankfort IL
Franklin Park IL
Glen Ellyn IL
Glenwood IL
Grant Park IL
Harvey IL

Hazel Crest IL
Hickory Hills IL
Hillside IL
Hines IL
Hinsdale IL
Hodgkins IL
Homer Glen IL
Hometown IL
Homewood IL
Indian Head Park IL
Joliet IL
Justice IL
La Grange Highlands IL
La Grange IL
La Grange Park IL
Lagrange Park IL
Lansing IL
Lemont IL
Lisle IL
Lockport IL
Lombard IL
Lynwood IL
Lyons IL
Manhattan IL
Markham IL
Matteson IL
Maywood IL
McCook IL
Melrose Park IL
Merrionette Park IL
Midlothian IL
Mokena IL
Monee IL
Naperville IL
New Lenox IL
North Riverside IL
Northlake IL
Oak Brook IL
Oak Forest IL
Oak Lawn IL
Oak Park IL
Oakbrook Terrace IL
Olympia Fields IL
Orland Hills IL

Orland Park IL
Palos Heights IL
Palos Hills IL
Palos Park IL
Park Forest IL
Plainfield IL
Posen IL
Richton Park IL
River Forest IL
River Grove IL
Riverdale IL
Riverside IL
Robbins IL
Rockdale IL
Romeoville IL
Rosemont IL
Sauk Village IL
Shorewood IL
South Chicago Heights IL
South Holland IL
Steger IL
Stickney IL
Stone Park IL
Summit Argo IL
Summit IL
Thornton IL
Tinley Park IL
Villa Park IL
Warrenville IL
Westchester IL
Western Springs IL
Westmont IL
Willow Springs IL
Willowbrook IL
Wood Dale IL
Woodridge IL
Worth IL