Please download our application form:
Application Form [Excel]
Application Form [pdf]
All funding must be pre-approved.
You must have Microsoft Excel to complete the form. If you do not have excel, you may download the pdf version, print and fill out in black or blue ink only. If you are using the excel version, please fill out the form in excel, and then complete and print it. You may also print and complete the application, and then scan and email it to us. Once completed it can be faxed, emailed or mailed to us.
Fax:
1-877-603-9991 or
Mail:
85 Elizabeth St.
Sutton West, Ontario, Canada
L0E1R0
Email:
lynn@giveamiracleachance.com
All components of the application must be completed. We will not review incomplete applications.