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Now Accepting Applications

Individual Online

Hope on the Prairies Foundation Inc. offers sponsorship support to individuals and families facing financial challenges. If you’re in need of assistance, we invite you to submit an application for consideration.

Please complete the form below with as much detail as possible. Note: Funding is not guaranteed and may only cover a portion of the total cost requested.

Download Application

Personal Information

Full Name:(Required)

Date of Birth:(Required)

Year

Month

Day

Address:(Required)

Email:(Required)

Phone(Required)

Parent/Guardian Information (if applicable)

Parent/Guardian Name:

Parent/Guardian Address:

Relationship to Child:

Parent/Guardian Phone:

Parent/Guardian Email:

Household Information

Number of Adults in the Home:(Required)

Number of Children in the Home:(Required)

Do you have treaty status?(Required)

Yes

Do you have coverage under a benefit program?(Required)

Yes

Annual gross income for all income earners in the household:(Required)

What are you requiring assistance for?(Required)

Groceries

Counselling Sessions

Utilities

Other

Outline the specific cost associated with the request:(Required)

Please detail your situation:(Required)

If requesting counselling, how many sessions are you requesting? What counselling agency/counsellor are you seeing? Do you have benefits that need to be used first, or have your benefits for counselling been maxed out?

By submitting this application, I confirm that the information provided is accurate. Please note, funding is not guaranteed and may only cover a portion of the cost requested.

Signature(Required)

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Date of Application:(Required)

Year

Month

Day

Address:
#3-102 McKendry Avenue West
PO Box 4425, Melfort, SK, S0E 1A0

Phone: 306-920-8881
Fax: 306-752-1983
Email: hopeontheprairiesfoundation@gmail.com

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