Please fill out the full application below and submit to us by December 15th, 2017.

If you require assistance in filling out the application, please contact us.


Please note that in order to be eligible for this initiative you must be:

a.  A Canada Revenue Agency registered charity status (a “Charity”); or
b.  A partner or collaborator who is affiliated with a registered Charity.

Contact Name *
Contact Name
Mailing Address *
Mailing Address
Phone Number *
Phone Number
Does your organization have Canada Revenue Agency registered charity status (a “Charity”)? *
Is your organization partnering with another organization that has Canada Revenue Agency registered charity status (a “Charity”)? *
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