Step 1: From the “financial assistance” page on the Dunbrack website, press the "APPLY for Everyone Plays Funding" button. This will bring up the application document.

 

Step 2: Download the document with the "arrow" button or print the document using the "printer" button.

 

Step 3: Complete the form, a translatable copy of the form will be provided below to help complete the application. To translate the page, please click this button located at the top of the page.

 

Step 4: Submit the form to Dunbrack VIA email to info@dunbrack.ca

 

Copy of the Application

Dunbrack Everyone Plays! APPLICATION FORM: PLEASE ENSURE ALL INFORMATION IS COMPLETE AND ACCURATE (PLEASE PRINT CLEARLY)

SECTION 1: APPLICATION INFORMATION

Child’s Name: ____________________

Birth Date (dd/mm/yyyy): ___/___/____

Gender (M/F): __________

Address: ________________________________________________

City: ____________________

Province: _________________

Postal Code: _________________

Name of Parent/Guardian: ________________________________________________________

Tel: (____)___________________

Email: ____________________________________________

HDSC Can Contact Family: YES/NO

 

SECTION 2: REQUEST FOR FUNDING

Start Date (dd/mm/yyyy): ___/____/____

End Date (dd/mm/yyyy): ___/____/___

Please include amount you are able to contribute: _____________________________________

Where else have you requested funding? ____________________________________________

Organization contact (if known): ___________________________

REQUEST $: ______________

Organization Email: _____________________________________

Tel: (____)___________________

Address: __________________________________________

City: ____________________

Province: _________________

Postal Code: _________________

 

SECTION 3: ENDORSEMENT

Community Leader (School Principal/Guidance Counsellor/Teacher/Doctor/Dentist/Lawyer/Social Worker/Police Officer) Name: __________________________________________

Address: ________________________________

City: ____________________

Province: _________________

Postal Code: _________________

Tel: (____)___________________

Email: ____________________________________________

Relationship to applicant: _______________________

HDSC Can Contact Me: YES/NO

I certify my endorsement of the above child/youth and verify that all the information given is correct and can be substantiated: Signature: ___________________________________________________________

Date:_____________________

If possible, please attach a letter from a community leader indicating relationship to applicant verifying the applicant’s economic barrier to participate in the requested activity or program. The community leader should be in a position to identify and assess the economic barriers of the applicant.

 

If you have any questions or need assistance when completing this application, you can email us at info@dunbrack.ca or call our office at (902) 455-0078