Application: Program Support Subsidy

Sturgeon County Residents Only
Sturgeon County Adult Registration Subsidy
Child Registration Subsidy (Sponsor A Child)

Sturgeon County Family and Community Support Services (FCSS)will support children and adults who may be experiencing financial hardship and cannot otherwise participate in programs. For programs not offered in these communities, programs offered in neighboring communities will be considered.

Sponsor a Child Program Registration Subsidy: Will provide sponsorship to qualifying families for children of Sturgeon County residents for programs throughout the year.

Sturgeon County Adult Program Registration Subsidy: Will provide sponsorship for qualifying adults who are rate payers of Sturgeon County for recreation programs throughout the year.

To qualify for this program, the combined taxable family income should be less than listed below or you should have extraordinary living expenses that would impact ability to pay:

Family Size	Annual Taxable Income*	Monthly Income
1	$27,589	$2,299
2	$34,346	$2,862
3	$42,224	$3,519
4	$51,267	$4,272
5	$58,145	$4,845
6	$65,378	$5,448
7+	$73,011	$6,084

Program Guidelines

Program Registration Fee Subsidy – Adult Registration and Child Registration through Sponsor a Child

Program subsidy may be provided for a maximum of $175.00 per person per calendar year. Applicants will be encouraged to pay an affordable portion of the program fee.
Sponsor a Child applicants will be supported in applying for other additional subsidy programs such as Jump Start.
Applicant must complete the Financial Subsidy Request Application form. (attached)
If applicant does not attend the registered course or program, future applications for assistance may be affected.

Please allow two weeks for applications to be processed.
The decision of the Family & Community Support Services Department is final.

ALL APPLICATIONS WILL BE HELD IN STRICTEST CONFIDENCE

Apply Online

Having Trouble Completing the Form Online?

Sturgeon County Family & Community Support Services
Mail in 9613 – 100 Street, Morinville, Alberta T8R 1L9
Walk in at 9608 – 100 Street, Morinville
Phone: 780-722-1479 Fax: 780-939-2893
Email: livingwell@sturgeoncounty.ca

Application: Program Support Subsidy

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Applicant Information

Applicant Name:(Required)

First Last

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Municipality(Required)

Home/Cell No.(Required)

Work No.

Family Information

Number of Adults (18 years +) in the Household(Required)

Number of Children (under 18 years) in the Household(Required)

Are you presently receiving government assistance (i.e. SFI, AISH, CPP, Seniors Benefit)?(Required)

Yes

Are you working with a worker with another government service?(Required)

Yes

If yes, have you discussed the possibility of supports with that service?(Required)

Yes

Please state approximate net family earnings per month. Include income from:(Required)

Part time job, Full time job, Alberta Works, Canada Pension/RIFs, Alimony/Child Support, EI, Seniors’ Benefit, Other

Net Monthly Income(Required)

*Monthly income after deductions

Sturgeon County reserves the right to request certification of earning. Applicants can qualify due to extraordinary living expenses. If this is the case, please attach a monthly household budget. Our program staff can provide support with qualifying due to high living expenses. The personal information provided will be used to process your request for subsidy for yourself or your child and is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection and use of this information, please contact the Sturgeon County Access and Privacy Coordinator at 9613 – 100 Street, Morinville, Alberta, T8R 1L9 (780) 939.4321 or foip@sturgeoncounty.ca.

Program Fee Registration Subsidy

Please list the program(s) you wish to have subsidized or attach a copy of your registration form.

Program Name

Program Contact Name

First Last

Program Contact Phone

Participant Name(s)

Cost of Program

Program Name

Program Contact Name

First Last

Program Contact Phone

Participant Name(s)

Cost of Program

Program Name

Program Contact Name

First Last

Program Contact Phone

Participant Name(s)

Cost of Program

Office Use

Earning documentation provided (initial to verify)

Total Subsidy Recommended

Notes

Application: Program Support Subsidy

Program Guidelines

Apply Online

Having Trouble Completing the Form Online?

Application: Program Support Subsidy

Applicant Information

Family Information

Program Fee Registration Subsidy

Office Use

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