Funding Information

Should your organization wish to submit a proposal for funding, please complete the Application for Funding form. The Zhubin Foundation will consider all requests that meet the criteria as expressed in our Mission: To provide financial support to those agencies, organizations, and groups in the Greater Montreal area whose mandate it is to offer much needed support and relief to families caring for special needs children.

Fill out the form below or download the questions here. You can upload supporting documents below or if easier please mail them to
The Zhubin Foundation, 505-3150 Place de Ramezay Montréal, Québec H3Y 0A3 Canada

Funding Request Form

General Information
Name of Organization*
Name of Contact Person*
Position/Title of Contact Person*
Email*
Organization Address*
Street Address
Phone Number*
Charitable Registration Number*
Year the organization was founded*
Mission
What is the mission of your organization?*
Describe the goals of your organization and the programs which meet those goals.*
Describe your client base*
Funding Request
Is this request for funding for a new program/service or for an already existing one?*
What is the amount of funding requested?*
How will the funds from The Zhubin Foundation be used?*
What are the goals and objectives of the program/service for which funds are requested?*
How many participants will directly benefit from the program/service and who is the target population?*
Describe the specific activities and how the program/service is delivered?*
How will the success of this program/service be evaluated?*
How is the program administered?*
What other sources of funding do you receive?*
How did you hear of The Zhubin Foundation?
Please provide a detailed budget for the program for which funds are requested.*
Please attach a copy of your current years budget*
Please attach a copy of the most recent copy of your audited financial statement.*
Please provide any other information you would like us to consider.*
Name
This field is for validation purposes and should be left unchanged.

Funding Request Form

General Information

Mission

Funding Request