Applications

Apply for funding from the Dreamcatcher Charitable Foundation for a brighter future for our Aboriginal youth! 

Submit Your Application Form Online

Once you have completed your application, fill out the fields below, attach the file and click submit.

Application Name (Name of Group or Individual) *

First Nation/Band Name *

Applicant(s) Age(s) (Team or Individual) *

Parents Name (If applicant is under 19 years of age)

Contact Person *

Mailing Address *

City *

Postal Code *

Contact Number *

Email Address *

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PROJECT INFORMATION

Name or Title *

Location *

Start Date *

End Date *

Brief Project Description (Describe specifically what you're applying for. Please summarize.) *

How Will Your Project/Application Benefit You Or Your Community? Check All That Apply. *

Role Model Creation

Increased Fitness

Self-Improvement/esteem

Leadership Development

Community Participation

Community Pride

Improved Health

Other

Please Specify *

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COMMUNITY SERVICE

Provide specific name of group, activity, or organization that you will be volunteering for. A minimum of four hours of volunteerism per individual is required. Community service is to be completed upon approval of funds. Any new hockey reps will be responsible for the community service for their team. Failure to complete Community service will affect future applications. NOTE: Community service cannot be the activity that was submitted on yur application.

Check Applicable Services *

Sports Team/Organization

School

Church

Elderly

Dinners/Luncheons

Community Beautification

Pow-wow

Holiday Event

Special Event/Other

Please specify the name of the team, organization, school, church, event, community, etc... *

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Previous Approval

Have you been approved for funding by the Dreamcatcher Charitable Foundation before? If yes, please include application #, amount approved, date of approval, and what you have been approved for.

Please Specify *

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ACKNOWLEDGEMENT

Must provide clear description of how you will acknowledge the contribution of the Dreamcather Charitable Foundation (E.g. appeciation certificate, newspaper ad, newsletter, or photo, etc...)

Please Specify *

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BUDGET

Please provide quotes or estimates, do not submit invoices or receipts until after you receive approval letter.

Quote or Estimate *

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Project Costs *

Dollar Amount *

Project Costs

Dollar Amount

Project Costs

Dollar Amount

Project Costs

Dollar Amount

Project Costs

Dollar Amount

Total Cost ($) *

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OTHER PROJECT FUNDING

Please list ALL other funding sources, confirmed, for your project/event.

Fundraising (Description and Amount) *

Personal/Donation *

Grants, chief & council, Rama, funds, others, etc... *

Total Funding From Other Projects *

Amount Being Requested From The Dreamcatcher Charitable Foundation (Project Costs Minus Other Project Funding) *

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MANDATORY REFERENCES

References must be over 19 years of age and must be individuals other than those who have signed the application form. Three references MUST be listed, however, actual reference letters are preferred but not mandatory. References can be personal, community, character, or business-related. Only three letters of support/recommendation will be accepted, others will be disregarded.

Reference 1: First Name/Title *

Reference 1: Mailing Address (Include City and Postal Code) *

Reference 1: Contact Number *

Reference 1: Email Address *

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Reference 2: First Name/Title *

Reference 2: Mailing Address (Include City and Postal Code) *

Reference 2: Contact Number *

Reference 2: Email Address *

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Reference 3: Full Name/Title *

Reference 3: Mailing Address (Include City and Postal Code) *

Reference 3: Contact Number *

Reference 3: Email Address *

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DECLARATION

I/WE agree to provide the necessary documents as required/requested (ie. Financial statements, supplier quotes) *

I/WE agree that if our application is approved, I/WE will meet the Reporting Requirements as outlined in the Project Guidelines. We understand that failure to meet the Reporting Requirements will affect any future application. Payment will be submitted to the Dreamcatcher Charitable Foundation. *

I/WE confirm that the information contained in this application and the accompanying documents is true, accurate and complete. *

I/WE agree that any photos taken or submitted in regards to this application can be used for the purposes of the Dreamcatcher Charitable Foundation. *

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PROOF OF MEMBERSHIP

Copies of status cards (front and back including your 10-digit Band number) must be submitted for the following:

Individual Applicants

Attach Status Card Of Individual Applying (Front & Back) *

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OR

Group/Team Applicants

Attach Status Card Of Primary Contact

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Attach Status Card Of First Signatory

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Attach Status Card Of Second Signatory

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FINANCIAL NEED BUDGET SHEET

NOTE: Failure to accurately report your actual living circumstances will result in:
a) your current funding will be revoked and immediate repayment to the Dreamcatcher Charitable Foundation will be required;
b) you will not be eligible for future funding.

Current Marital Status *

Single Married Common Law Divorced Separated Widowed/Widower

Number Of Dependents *

None

1

2

3

4

5

6

More Than 6

List The Ages Of Your Dependents (If Applicable)

Current Employment *

Full-Time Part-Time Seasonal Unemployed E.I. Pension OW

Annual Household Income ($) *

If applicable, please submit a copy of the most recent notice of assessment/reassessment from the Canada Revenue Agency for each parent/guardian listed on this application. If you do not have a notice of assessment/reassessment, a pay stub or note from an employer will suffice. *

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A) Monthly Income Sources

Monthly Income From Savings or Work ($) *

Monthly Income From Spouse or Partner ($) *

Other Monthly Income *

Monthly Child Support (If Applicable) *

Monthly Child Tax Benefit (If Applicable) *

Monthly Pension Income (CPP, OAS, GAINS, Orphans Allowance) *

Monthly Social Assistance (OW or ODSP) *

Any Other Sources Of Income Not Listed Above *

A) TOTAL MONTHLY INCOME *

B) Monthly Expenses

Monthly Mortgage/Rent/Shelter *

Monthly Food *

Monthly Utility Costs *

Monthly Telephone, Internet & Cable Costs *

Monthly Transportation Costs *

Monthly Childcare Costs *

Monthly Clothing & Recreation Costs *

Monthly Insurance Costs *

Other Monthly Expenses

B) TOTAL MONTHLY EXPENSES *

Totals

TOTAL MONTHLY INCOME (A) *

TOTAL MONTHLY EXPENSES (B) *

SURPLUS/SHORTFALL (A-B) *

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SIGNATURES

This application form must be signed by TWO over the age of majority (19 years of age) for both individual or group applications. Signatories cannot be the same individuals you listed as references.

Signatory 1

Full Name of Signatory 1 *

Title/Relationship To Applicant *

Date *

By checking this box you are verifying your identity as a signatory, and the accuracy of the information enclosed in this form. *

Signatory 2

Full Name Of Signatory 2 *

Title/Relationship To Applicant *

Date *

By checking this box you are verifying your identity as a signatory, and the accuracy of the information enclosed in this form. *

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