Individual Application
Date of Application
-
Day
-
Month
Year
DD/MM/YYYY
Basic Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How did you hear about the TLC Fund for Kids?
Have you ever received a grant from The TLC Fund before?
Please Select
Yes
No
Date Applied
-
Day
-
Month
Year
DD/MM/YYYY
Purpose of funding
Today's Application
How much are you applying for today?
What specifically are you requesting funding for?
Applicant Profile
Name of child/children
Age of child/children
Child/Children’s background/circumstances
Funding Request
Who will benefit from this application if successful?
How will the recipient(s) benefit?
Financial Background
Annual Family Income
Please Select
Below $50,000
$50,001 to $65,000
65,001 to 82,000
82,001 to 95,500
95,501 or more
Please provide a breakdown of the costs of products/services you are applying to have funded. If you have quotes/estimates please attach these to your application.
Quotes/Estimates Upload
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Have you approached other organizations for funding?
Please Select
Yes
No
If yes, please tell us who you have applied to and for what amount, has any of this funding been granted?
Have you done any other fundraising?
Please Select
Yes
No
If yes, please tell us more, how much have you raised and what did you do to raise these funds.
References
Can you provide a third-party reference from an appropriate professional to support this application (see details in the funding application guidelines above)
Name of Referee
Phone Number
Please enter a valid phone number.
Email
example@example.com
Organization/Job Title
How does this person know you and the child/children who will benefit?
Reference Letter (If Applicable)
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Please provide any additional information you would like us to share with the board in order to inform the decision making process.
Please verify that you are human
*
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