Nomination Form

Creating FunNOW! for Women LIVING with Breast Cancer, the Karen Wellington Foundation for LIVING with Breast Cancer (KWF) provides gifts of fun to support LIVING life to the fullest. With a goal to reach as many women as possible, we accept nominations for first time recipients; and try to put FunNow! on the calendars of these women either during treatment or within six months of last active treatment. 

Nominees should be ACTIVELY BATTLING BREAST CANCER and live WITHIN a chapter area. Our KWF chapters and Ambassadors also support nominations but work directly through local medical centers. Additionally, we do not accept self-nominations. 
YOUR information







NOMINEE Contact Information










Your Nominee's medical information is not required to submit the nomination. However, if you have the information and would like to fill it out, please do so. 
NOMINEE Medical Information





Once a nomination is received, the nominator will be contacted to initiate the process for completing a Recipient Information Form (RIF). Our Giving Committee (which includes at least one past recipient) reviews all RIFs and makes recommendations to the Foundation for specific Gifts of Fun. It is our goal to send as many people on vacation as possible, but as that is not always possible, the committee may select alternative gifts  based on information provided. . 





Additional information
Do you know of anyone who might want to be involved in the design, planning, or delivery of this gift? 

Please help support our mission of putting FUN on the calendars of these women and their families

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Thank you for your gesture of nominating someone special for a gift of FUN during an otherwise challenging, tiring and sometimes hopeless time of being diagnosed and LIVING with breast cancer. We put FUN on the calendars of women and families -  women with calendars fill of chemo and radiation treatments doctors' appointments, tests and more tests. We send them on family vacations, relaxing spa days, dinners out with friends, concerts, sporting events and other FUN only activities. Our gifts provide the many Karen's out there a chance to balance mind, body and spirit by putting something on the calendar NOW to help them keep on LIVING.