Individual Grant Request Form

Mutual Aid Ministries

Please review our Individual Grant Criteria before completing this application.  

Have a question?  Email our team at info@maxinsurance.ca.  

Fields marked with an * are required

Person Completing this Request

The Grant Recipient

The Faith Community

The Hardship

Gift Recipient

On behalf of the gift recipient, please complete the following statements:

Faith Community

On behalf of the faith community, please complete the following statements: