Copy and paste the form, once completed please send to childrensfund@900chml.com

The Children's Fund Board meets every 3rd Wednesday of the month.

ENTRY DATE:

 NAME:

 EMAIL:

 ORGANIZATION:

 CHARITY NUMBER:

 ADDRESS:

 PHONE NUMBER:

 Will the funding be used solely for children?

 Dollar amount being sought:

 Time period funding will be utilized:

 Is the program seasonal/annual?:

 Description of program/service being provided:

 Have you received funding from CHML/Y108 in the past?:

 If you answered yes to the question above…when?

 Are there opportunities within your organization to raise awareness of the CHML Children’s Fund?:

 How else can CHML and Y108 help your organization?:

If you are requesting funds for $10,000 or more please answer the following questions:

                a) Who it will benefit

                b) Design of the project

                c) Outcomes expected.

                A brief overview of your budget, income sources, and expenses for this project.