Training and Development

Section 1. Participant Information

Applications for children/youth up to age 21 are invited to apply
What county does the participant reside in?*

Hastings CountyNorthumberland CountyPrince Edward County

Section 2. Highland Shores Children's Aid
What is your worker’s name?
If applicable
Worker's email address
example@example.com
Do you currently have an open file involved with the Highland Shores Children’s Aid Society?*

YesNo

Section 2. Qualifying Criteria
Annual gross Household income before taxes.*
Per your current Income Tax return for all individuals.
Please attach proof of income of all parents/guardians who live in the household. Acceptable proof is an image document of your current CCB (Canada Child Benefit) notice of assessment. (Acceptable file formats: pdf, jpg, jpeg, png, screenshots)

Cancelof
I have uploaded my CCB Notice of Assessment for proof of income. This is mandatory.*

yes

Section 3. Organization Information
Program Organization Name *
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization email*
example@example.com
Contact telephone*
Type of activity
soccer, music, art, cheerleading etc
Approximate start date of activity

MonthDayYear
Date
Full registration cost*
Funding requested (max $400/per child/ per year)*
This registration is for (pick one)*

One session (ie. one program for a set number of weeks) or,Ongoing sessions (program runs all year, weekly lessons etc)Other
Proof of Enrollment

Upload confirmation of enrollment.
Cancelof
I have uploaded a file/picture of the invoice.*

yesno - I need to send funding approval to the Organization first.
Is there anything else you'd like us to know?
The Children's Foundation is a donor supported Organization. How will this funding impact your child and family positively?*

Section 4. Permissions & Signature

Almost done!
I have thoroughly read and understand the guidelines of the Reach for Success Training and Development funding process and agree that this application meets the guidelines and is truthful.*

Yes
I give The Children's Foundation permission to contact me for testimonials and impact stories.*

YesNo
Guardian Signature*

Clear
Date signed*

MonthDayYear
Date
If you have any questions about this form, please submit an email to info@thechildrensfoundation.ca
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Reach for Success Training & Development