Apply

Please complete the following fields to request an application. Thank you for your interest in the Kees Brenninkmeyer Foundation.


    Name

    Email

    Phone Number

    Mailing Address










    Street Address











    Injury Description

    Have you seen a physician regarding this injury?

    Career Type

    Career Description

    Medical Insurance

    Do you have or anticipate future access to crowd funding or other fundraising platforms?

    How were you informed about the foundation?

    Please verify the following image

    captcha

    Featured Testimonial

    "After going to physical therapy, the majority of my second season patrolling, surgery became my only option to prevent further cartilage damage behind my patella. I had worn the cartilage behind my patella down to nothing. One of my co-workers, who had received help from the Kees Brenninkmeyer Foundation, told me to apply and I am very thankful he did. The Kees Brenninkmeyer Foundation has been absolutely amazing; instead of stressing over the financial burden of surgery, I could focus on recovery and strength. I had a tibial tubercle osteotomy on March 30th, 2018 with 6 weeks in a straight brace and another 6 weeks of limited mobility while the bone healed. I watched my leg shrivel to nothing and become my “chicken leg”. With the help of the Kees Brenninkmeyer Foundation, I was able to go to PT as many times as was helpful without worrying about co-pays and number of yearly visits. There were no restrictions and my focus was solely on recovery and getting back to work this winter. I am a little over 9 months from surgery and am back to working full time with no restrictions. I could not have recovered as quickly without the financial assistance and the focus that allowed me to have on recovery. I cannot thank the Kees Brenninkmeyer Foundation enough for their support and have and will tell everyone about it!"

    - Jessica Knowles

    Read More