Required fields are marked with asterisks (*)

Township of Woolwich - Grant Application Form: One-Time Travel Assistance

For more information on Travel Assistance Grants for Youth 18 Years Old or Younger, and to ensure eligibility requirements are met, please see Section 15 of the Township's Grants Policy.

The Township's Grants and Special Assistance Policy provides for the different types of financial support. All information submitted in a grant application becomes public information and will be shared with the public upon request. The Township may request further information or clarification as needed. A Grants Reporting Form will be provided to all returning applicants following submissions of the Grant Application. This form is required to be filled out and submitted prior to the receipt of any successful grant awards. Should you have any questions or concerns, please contact the Council and Committee Facilitator at 519-669-6004 or woolwich.mail@woolwich.ca.

Name of Applying Organization or Individual

Name and Title of Primary Contact:

Applicant Address (Street Number, Street Name, City/Town, Postal Code):

Address for Primary Contact (If Different than Above):

Primary Contact Telephone Number:

Primary Contact Email Address:

Please see Section 15(m) of the Township's Grant Policy for the funding amount breakdown.

Requested Grant Amount: