Are you an individual facing a terminal illness, a loved one, or a healthcare provider? If so, please fill out this application telling us more about you and your desired experience.

Applications can be sent to [email protected]

Application Forms

HOW DO ADULTS QUALIFY FOR AN EXPERIENCE?

IN ORDER TO BE ELIGIBLE FOR AN EXPERIENCE, AN ADULT MUST BE:
  • Between the ages of 18 and 39
  • A legal Canadian citizen or permanent resident; and
  • Have a terminal illness diagnosis

 

WE DO NOT FULFILL CERTAIN TYPES OF EXPERIENCES:
  • Requests from individuals living outside of Canada
  • Cash
  • No gifts for others
  • Surprise Experiences
  • Reimbursements for completed Experiences
  • Legal assistance
  • Automobiles, lifts, repairs
  • Hunting
  • Property home improvements and repairs
  • Funeral arrangements or posthumous requests
  • Medical treatment/supplies/equipment/transportation or dental extractions
  • Cruises
  • Any Experience request deemed offensive, inappropriate or inconsistent with Forward Foundation values or those of our corporate partners

 

HOW ARE ADULTS REFERRED FOR AN EXPERIENCE?

Most referrals will come from the network of doctors, nurses and social workers involved in the adult’s care. Referrals can also come from family members, friends, or self-referral.

Application form

Fill out the online form below or download one HERE to fill it out offline.

 

General Information


Experience Request

The Forward Foundation was established with the desire to support a young adult with a terminal diagnosis of any illness to have an experience of connection. We define connection as a deepening relationship either with people, such as family or friends, or with something else we hold value in such as our relationship with the environment for example. It is through the mutuality of connection that we can give and receive. Tell us about your experience request and how connection plays a role in the request for you.

PARTICIPANTS REQUESTED FAMILY, SPOUSE, CAREGIVER, OR FRIENDS (Optional)


Medical Form

Along with your application, please download and fill out the medical form below. There are two parts to this form, the second of which requires a signature from the applicant’s physician. Please send your completed forms to [email protected]