Assistance for Individual – Gabriola Island Lions Club

If you are an organization or group, please click the organization funding request button on the right.

Otherwise, please fill out the form below and submit to us. We will get in touch with you very soon.

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Name *

First

Last

Email *

Phone *

Preferred contact method *

Email
Phone
No preference

What is the assistance that you are requesting? *

Enter a dollar amount for funding or another request type

When is this assistance needed? *

Please note the following policies: All applications will be considered and reviewed as reasonably possible within 2-3 weeks. We will try to expedite the urgent requests. As the Lions do not meet from June to August, any funding requests for this period need to be submitted by the end of May.

Please describe what the assistance is for. *

What is the additional assistance you have requested from other sources. *

Additional Comments / Requests

File Upload

Click or drag a file to this area to upload.

Add any additional files that will support your request.