Personal Funding Application
Individuals needing financial assistance can apply for funding from Ponoka FCSS. Ponoka FCSS receives donations directly from individuals and community businesses that fund-raise on our behalf. These donations are deposited into a number of different accounts depending on the request of those donating resources.
Funds can be requested specifically for assistance with multiple sclerosis; breast cancer, other cancers, and diabetes. When requesting funds from these specific accounts, proof of diagnosis is required. For financial needs other than the above, there is a general donation fund that funds can be allocated from.
Use the following form for funding requests for individuals to a maximum of $500.00. Completed forms can be mailed to Ponoka FCSS, Box 4004, Ponoka AB T4J 1R5; or faxed to 403-783-4483; or dropped off at the office. There is a drop-box if dropping application off after business hours.
For funding requests for individuals greater than $500, please contact the Executive Director at 403-783-4462 for funding guidelines.