Application Materials

A foundation representative will be in contact after the information provided is reviewed.

Meanwhile, please review the application documents below. Additional instructions regarding the application process will be given at the time of contact. Thank you.

Agreement and Financial Application

Authorization of Disclosure

Insurance Information

Introductory Questions













Featured Testimonial

"Without the help and support from everyone at the Kees Brenninkmeyer foundation, I doubt I would be returning to my career as a ski instructor this winter. They have ensured that I received all the treatment I felt I needed this year and the efficiency and communication has been unbelievable! The cause and generosity of this special foundation is one of a kind, and I will forever be thankful to them for helping me get back on skis!"

- Kim Richardson

Read More