International Assistance Application Form – International Assistance Web Platform Demo

To submit an application for the OTF International Assistance program, please fill the form below:

Apply for International Assistance

SECTION 1 – CONTACT INFORMATION

First Name

Last Name

Organization

Position

Address

Address Line 1

Address Line 2

City

State

Postal Code

Country

Telephone Number (including country code):

Mobile Number (including country code):

SECTION 2 – INFORMATION ABOUT YOUR APPLICATION

Project Description

Name of the project for which assistance is being requested:

How many people (students, teachers, or others) will benefit from your project?

Who are these people? What are their ages, gender, and circumstances?

What will you specifically purchase or do with the funds if your request is approved? (Provide detailed estimated budget in Canadian or USD currency)

Briefly describe this project in terms of your perception of the needs.

SECTION 3 – APPLICATION FOR FUNDS

Most projects approved by the OTF International Assistance Committee normally fall within the range of $400 – $500 Canadian.

What is the total cost of your project (in Canadian dollars)?

How much money are you requesting?

Are you prepared to follow this project through? (e.g., assist in purchasing and shipping materials, correspondence with contact people in developing country, and providing a summary report to OTF)

Yes

Have you applied, or do you expect to apply to other agencies for funds with reference to this project?

Yes

Other Funding

Name of Agency:

Amount Requested:

Amount Approved:

Amount received to date:

SECTION 4 – PAYMENT INFORMATION

Please ensure information below is accurate.

THE COST OF ANY FAILED BANK TRANSFERS WILL BE DEDUCTED FROM YOUR GRANT MONEY.

Payment Method:

EFT (Electronic Funds Transfer – within Canada ONLY)

Bank Wire Transfer (e.g., SWIFT)

Please indicate currency your bank is able to receive funds in:

Canadian

U.S.

Name of bank: