Jump Start Application Form

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Section 1: Application Information


Section 2: Request for Funding

I would like to request funding for:

Section 3: Endorsement

1) Parent / Guardian / Counsellor

 I certify my submission of the above child/youth and verify that all the information given is correct and can be substantiated.
Sign above

2) Community Leader / Professional

Please attach a letter from a Community Leader indicating relationship to applicant and a verification of the applicant’s economic barrier to participate in the requested activity or program. The Community Leader should be in a position to identify and assess the economic barriers of the applicant. 
Maximum 3 files.
10 MB limit.
Allowed types: pdf, doc, docx.
Canadian Tire JumpStart and its members will respect the confidentiality of all applicants