Apply

Last applications to be accepted will have to be submitted by June 30, 2026

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

    "I am so grateful that I was offered assistance from the Kees Brenninkmeyer Foundation. When I found out that I needed shoulder surgery I wanted to go to the best surgeon as my career depends on my shoulders working. My insurance would not have covered any of my surgery and only minimal physical therapy. It was amazing to get the best services possible with the best surgeon and 6 months of physical therapy all covered by the foundation. Almost mind blowing that this was all given to me and that I am now back to climbing and guiding at near full strength without any pain. I cannot thank the Kees Brenninkmeyer Foundation and The Steadman Clinic enough for giving me back my career and my passion. "

    - Heidi Wirtz

    Read More