Community Wellbeing grant program application

Note: asterisks (*) indicate required information.

Please enter organization name

Organization’s mailing address

Please enter your street address
Please enter your city

Please enter a valid Post code
0 / 2000 characters
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 (including area code)
Please tell us what is the specify option
0 / 2000 characters
Please tell us how does your organization contribute to health and wellbeing in your community
0 / 2000 characters
Please tell us if your organization is selected, how do you plan to use the grant funds to support your organization’s goals
Please tell us do you charge a fee to access your services
Please tell us what is the specify option

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

Declaration

You will receive a confirmation message to the email you provided in your application shortly.

If you would like to download and print the application form instead, please click here for a PDF version . Once complete, you can email the form to communitywellbeing@ab.bluecross.ca.

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