jeanripleyfoundation.ca
Jean Ripley Foundation for Child Development
jean Ripley Foundation for Child Development
Funding Application form
Organization Name ___________________________________________________
Organization Contact ___________________________________________________
Mailing Address ____________________________________________________
City ___________________________
Postal Code ___________________________
Is this organization a registered charity? _______________________________________
If yes, please provide your charitable number ____________________________________
When was this organization established? ______________________________________________________
Please check the type of service that your organization provides:
Pre-school _______
Day program _______
After school _______
Tuition subsidy _______
Other _______
If other, please describe
__________________________________________________________________________________________
__________________________________________________________________________________________
Please check the types of programming that your organization provides:
Music ______
Art ______
Literacy ______
Child Care ______
Special Needs ______
Other _______
If other, please describe:
______________________________________________________________________________________
______________________________________________________________________________________
_______________________________________________________________________________________
The program requires $_______________ to operate. We are requesting $ ________________ from the Jean Ripley Foundation for Child Development.
Please mail this completed form and any supporting documentation to:
The Jean Ripley Foundation for Child Development
c/o 34 Camberdale Pl
London, ON
N6K 3Z9
Acceptance of a grant from the Jean Ripley Foundation for Child Development indicates an agreement to have information and photos posted on the Foundation's website.