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, cancer and diabetes. When requesting funds for the above diagnoses, proof of diagnosis is required. For medically-related 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.