Individual Grant Application Form

Section 1: Applicant Information *

First

Last

Date Of Birth

year/month/day

Note: If this application is being made for a minor (under the age of 18 years), please ensure “Section 2: Parent or Guardian Information” is completed.

Street Address

City/Town

Postal Code

Phone Number

Email *

Section 2: Parent/Guardian Information

First

Last

Date of Birth

year/month/day

Relationship to Applicant

I certify that I am the parent or legal guardian of the individual named in Section 1 of this application and can produce such proof with a legal document (birth certificate, proof of legal guardianship).

To agree check this box

Street Address

City/Town

Postal Code

Phone Number

Parent Email

Section 3: Statement of Financial Need *

In the box below please describe the following:
1. Please describe yourself and include any information about special circumstances that impact your financial situation,
2. Please describe any steps you have already taken to financially support the pursuit of your development of as an artist,
3. Please justify why you are seeking financial aid (changes in income, unexpected expenses, specific dollar values are not required, just a general description),
4. Please explain how you will make good use of the financial aid to support pursuing the development of your artistry,

If “Other”, Please describe below:

Amount of Funds Being Requested

When are the funds needed by (date)

year/month/day

Please note: In order to provide funds to individuals, the Wright Family Arts and Entertainment Centre Foundation will request proof of how the funds are used to develop your artistry. Examples of this may include a letter describing the experience and how it helped you develop, copies of course syllabus or event agenda, and/or receipts of items purchased.

Section 5: Certification

Date

year/month/day

Name

Individual Grant Application Form

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