FUNDING APPLICATION

Help for a brighter tomorrow

Apply for financial assistance for a young person in the Warkworth community.

Your potential matters.

1Applicant Details

Parent/Guardian First Name *

Parent/Guardian Last Name

Address Line 1

Address Line 2

City

Region

Postal Code

Country

Phone

Email Address *

2Child/Youth Details

Child First Name *

Child Last Name

Date of Birth

School/Institution Name

Grade/Year Level

3Funding Details

Purpose of Funding (tick all that apply)

Education (e.g., tuition, books)Sports Activities (e.g., equipment, uniforms)Art & Culture (e.g., instruments, classes)Technology (e.g., computers, software)Health & Well-being (e.g., medical expenses, counseling)Others (Please specify)

Amount Requested ($)

Deadline Date

Describe the specific need for funding and how it will benefit the child/youth

Supporting Documents (Optional)

Letter from the school/institution (if related to academic purposes)

Choose File

PDF, Word, Excel, or image files

Quotations or bills (related to the funding request)

Choose File

PDF, Word, Excel, or image files

Any other supporting documentation

Choose File

PDF, Word, Excel, or image files

4Family Background

Please give a brief description of your family background/makeup and why it would be a hardship for the family to pay the expenses applied for. (You do not have to go into a great deal of detail however, we are a Trust and we have to assure our donors that there is a genuine reason that we are allocating funds)

Family Background *

5Additional Information

How did you hear about us?

Questions for us?

Extra notes (optional)