Funding Application Form and Guidelines

Guidelines for Georgina Cares Fund Applications

Eligibility:

Applicants must be 18 years at time of application (or currently in Grade 12) or younger and nominated by an adult.
Applicants must be permanent residents of the Town of Georgina.
Applications are for individuals only, not organizations or groups.

Required Documentation:

Copies of each parent/guardian’s Canada Revenue Agency Notice of Assessment must be attached.
For self-employed parents, a copy of the T2125 form is also required.

Financial Disclosure:

Full financial disclosure is mandatory for the application to be considered.
Incomplete applications will not be reviewed. Information is kept confidential.

Funding Request Details:

Specify the total amount requested.
Attach a letter explaining the basis for the request, signed by the parent/guardian and the nominator (if applicable).

Verification:

Applications related to medical, educational, or psychological needs require independent third-party corroboration.

Funding Limits:

Maximum: $1,000 per child per calendar year.
Family caps: $3,000 yearly, $4,000 lifetime.
Funding is temporary (up to three calendar years), regardless of limits.

Application Consideration:

Applications are reviewed based on need and available resources at the time.
Funding amounts and terms are decided by the Board.

Activity Restrictions:

Only one activity per child at a time is permitted.
Activities cannot overlap, and funding requests cannot exceed the yearly limit.

Timing of Applications:

Applications must be submitted before the activity begins.
Funding will only cover costs from the approval date onward.

Payment Terms:
- Cheques are issued to the service provider or organization.
- Exceptions may be made for recipients under special circumstances.
Application Deadlines:
- Submit applications well in advance of activity start dates.

Fraud Policy:

Fraudulent use of funds will result in legal penalties and removal of funding.

Giving Back:

Recipients are encouraged to give back by volunteering or donating to fund activities.
Submission of the application signs you up for the organization’s newsletters and updates.

Liability:

The Georgina Cares Fund and its organizers are not liable for injuries, harm, or losses related to funded activities or goods.

NOTE: The information provided on this application will be strictly confidential. The Board of Directors of the Georgina Cares Fund reserves the right to verify all information given prior to any grant being approved. Receipt of this application does not represent any promise on behalf of the Georgina Cares Fund. All grants are exclusively subject to the decision of the Board. Any verbal promises made regarding the Georgina Cares Fund are not the responsibility of the Board.

Application Summary

Name of Applicant (child)*

Enter child's full name

Age of Applicant*

Enter age of child *child must be 15 or younger*

Activity Being Requested*

Amount Being Requested*

Application Completed By*

Relationship to Applicant*

How did you hear about Georgina Cares?*

Your Email*

Applicant Information

Address of Applicant*

School They Attend*

Birthdate*

Are you a Parent/Guardian of the applicant?

Mother/Guardian Name*

Living with Applicant?YesNo

Is the child living with mother/guardian?

Full Mailing Address*

Mother/guardian's full address

Home Phone*

Work Phone*

Cell Phone*

Email*

Father/Guardian Name*

Living with Applicant?YesNo

Is the child living with father/guardian?

Full Mailing Address*

Father/guardian's full address

Home Phone*

Work Phone*

Cell Phone*

Email*

Are you a nominator who is NOT a parent/guardian of the applicant?

Your Name*

Your Relationship to the Applicant*

Your Mailing Address*

Home Phone*

Work Phone*

Cell Phone*

Email*

Funding Information

What type of extra-curricular activity or special need (ie: sport/leisure activity, medical equipment, etc.) are you applying for?*

Please provide details about the request, including the name of the organization, length and description of the activity.*

What is the total amount being requested?*

If the grant is required for medical reasons, please provide details and the name and phone number of the applicant’s attending physician

Is the applicant or his/her family receiving, or have they applied for, any other type of aid from any other community group or association in regards to this matter? (ie: PC Children’s Charity, Kerry’s Place, Jumpstart, York Support, etc)YesNo

If yes, please provide details about the request, including the name of the organization, duration and description of the activity

Is this the applicant’s first time applying for funding with Georgina Cares?* YesNo

If you answered no to the above, please provide details of prior grant requests and any amounts received

Include details and amount received

Other Information

Please describe any special circumstances (medical or otherwise) we should be aware of with respect to the applicant

NOTE: It is critical to attach a letter outlining the background or basis of this request. Include any additional information you feel may be important in order to assist the board in evaluating the application.*
File types accepted: PDF, WORD, JPG, JPEG, PNG, GIF. Max File Size: 2MB

Confimation

*I hereby swear that the above information provided is true and correct to the best of my knowledge. I have attached a copy/copies of the recipient family’s most recent Canada Revenue Agency Notice of Assessment(s).

*I, as parent/guardian of the recipient, hereby indemnify and save harmless the Georgina Cares Fund, its directors, servants, agents and volunteers from any loss, damage or injury resulting from the recipient’s participation in the event or activity funded by the Georgina Cares Fund. By signing this application, I am certifying the accuracy of the information contained on this form and all attachments associated with this application and have read and understand all of the attached guidelines. I grant and permit the staff and Board of the Georgina Cares Fund the right to verify and validate the nature of my request, through any means deemed appropriate.

Application Funding

Funding to children up to the age of 18, who live in the Town of Georgina, to take part in extra curricular activities or for special needs when their parents/ guardians cannot afford to do so.

What is the Application Funding?

How do I qualify for application funding?

How do I apply?

Funding Application Form and Guidelines

Get in Touch.

PO Box 195, Sutton West, ON L0E 1R0

Call Us: (289) 338-3863