Application form

The Community Wellbeing grant program

Note: Asterisks [*] indicate required information.

Organization information


Please enter your organization name
Please enter your organization website
Please describe what your organization does.
Please enter your name.
Please enter your job title.
Please enter a valid email address.
Please enter a valid phone number.
What target population(s) does your organization support? *

Nominee information

(must be a volunteer of the nominating organization)

Please enter volunteer’s name.
Please enter a valid email address.
Please enter a valid phone number.
Please enter a mailing address.
Please enter volunteer's role.
Please tell us why you are nominating this volunteer.
Please describe how this volunteer has contributed.
Where did you hear about this grant program?
Is the volunteer aware of this nomination? *
Please confirm if the volunteer is aware of this nomination.

Note: If your organization and volunteer are selected as a recipient for this award, you may be asked to answer some follow-up questions and provide photos to help tell your story. This information may be shared via our blog, website and social media channels.

Declaration


Please confirm that this application is true to the best of your knowledge.
Please enter today's date.