Summer Bursary Application

APPLICATIONS FOR THE 2024 SUMMER BURSARY PROGRAM NOW CLOSED

The deadline for application is April 1 at midnight.

Click here for more information about this program. Confirmation of grant allocations will be made via email in June. If you have any questions please contact Kim Miles, 604-985-5371‬.

All information regarding your child/youth is confidential. This information is used to assist the NSDRC in providing the best possible support.

Funding allocations are made in conjunction with representatives of Ministry of Children and Family Development (MCFD) and other service providers on the North Shore. Submission of your application confirms your consent to share information as required with these service providers.

Required fields are marked with an *. Once all applicable fields are complete, click the Submit button at the bottom of this form.

summer bursary application form

Deadline for application is April 1 at midnight

Required fields are marked with an *. Once all applicable fields are complete, click the Submit button at the bottom of this form. Confirmation of grant allocations will be made via email in June. If you have any questions please contact Kim Miles, 604-985-5371‬.

Contact Information

Child / Youth First Name *

Child / Youth Last Name *

Child / Youth Address *

Child / Youth Address

City

Province

Postal Code

Primary Contact First Name *

Primary Contact Last Name *

Relationship to Child / Youth *

Primary Contact Telephone: Main *

Primary Contact Telephone: Secondary

Primary Contact Address *

same as Child / Youth

other

If other address, please specify. *

If other address, please specify.

City

Province

Postal Code

Primary Contact Email Address *

Secondary Contact First Name

Secondary Contact Last Name

Secondary Contact Relationship to Child / Youth

Secondary Contact Telephone: Main

Secondary Contact Telephone: Secondary

Demographic Information

Child / Youth Gender *

Child / Youth Birth Date *

Child / Youth Age on July 1? *

Municipality *

North Vancouver City

North Vancouver District

West Vancouver

Other

If other, please specify municipality.

Language Spoken at Home *

Support Information

Diagnosis / Support Need *

Briefly describe your child / youth's needs.

Do you currently receive services from the Ministry of Children and Family Services? *

Yes

If yes, what types of services do you receive?

Social Worker Name (if applicable)

Application for Bursary

I am applying for a bursary to: *

pay camp fees

pay for a support worker

If you are applying for funding to pay camp fees, how much funding are you requesting?

Name / Location of Camp (if known)

Camp Dates (if known)

If you are applying for a bursary to pay for a support worker, how much funding are you requesting?

How much per hour will you pay?

Do you have a worker you can hire?

Yes

If you are human, leave this field blank.

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North Shore Disability Resource Centre

3158 Mountain Highway

North Vancouver, BC

V7K 2H5

phone: 604-985-5371

fax: 604-985-7594

email: nsdrc@nsdrc.org

connect with us

The NSDRC was started by a group of families in 1976. In the years since, we have worked for a "Community for All" by developing and providing community housing, infant development programs, youth groups, community-based services, and information and advocacy.

We are grateful for the opportunity to work, live and play on the unceded territory of the Coast Salish Peoples, including the territories of Musqueam, Squamish, and Tsleil-Waututh Nations.