Funding Application

Organization Name

Organization background

Organization Status

Not-for-profit

For-profit

Registered

Other

Please specify

Website

Social Media Handles

First Name

Last Name

Job Title

I would like to provide a secondary contact who can answer questions related to this application.

First Name

Last Name

Job Title

Preferred Payment Method

Cheque received at the indicated address

E-transfer to the organizational email address

Must be an organizational email; personal email addresses will not be accepted.

Street Address

City

State/Province

Country

Postal Code

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