Grant Application | Rod Harquail Fund

Name of Child *

Age of Child *

Name

Email *

Telephone *

Please add the regional code (i.e. 506-123-456)

Are you the child's parent or guardian? *

Yes

Name of parent(s)/guardians(s)

Address of Child *

Address *

City/Town *

Province *

Postal Code *

Name or nature of illness or injury *

In what city/town/hospital is the child being treated *

Approximate date or time frame when the child became sick or injured *

Approximate annual expenses related to sickness/injury *

If uncertain at this moment simply enter $0 as the amount.

Brief description of related expenses

Approximate date or time frame when expenses were incurred or expect to be incurred *

Amount of grant applied for *

If uncertain at this moment simply enter $0 as the amount.

I certify that the above information to be true and accurate to the best of my knowledge. If I become aware of a change in the information provided I am obligated to inform the committee immediately. *

Who Can Apply

Families of sick or injured children. An application can and should be made by a third party if they are aware of a family in need.

We expect most applications to come from the Dalhousie and eastern Restigouche region in general. We do realize the importance of the regional economics, and that the fund is supported by people from the surrounding communities and across Canada through our fundraisers, so we will consider all applications regardless of region.

Grant applications and disbursements will be treated as private and confidential by the Fund Committee.

Size of Grants

The grants are intended to partially offset some of the expenses incurred due to having a sick or injured child. There is no specific set amount for a grant and this may vary from year to year depending on the size of the Fund.

Grants will be limited to one per calendar year per family.

Grant Decisions

Grant applications will be considered as promptly as possible after they are received by the committee. Decisions will be made on a case by case basis.

Besides having a demonstrated need, factors considered can include availability of funds, and timing of the application. In general, the application will have a better chance of being accepted if the applicant resides in the eastern Restigouche region.

The applicant will be informed of the decision within the shortest delay. In the event of a grant application being refused, no explanation will need to be given by the committee.

The committee reserves the right to revise any decisions on grants made at any time based on new information received or if the amount in the fund changes.