COVID-19 Assistance

The initial COVID support funding received on Nov 23, 2021 has been distributed in full. Applications will still be accepted.

A second application has been submitted for additional support funding, however IF approved, may take 2-3 months before we receive it.

All applications will still be accepted and be reviewed for membership information. Additional info may be requested if you are not on the Membership List held by Councillor Roy Goerz, or have not registered previously with us to provide your connection to the Michel Band.

Applications will be processed and recommended for approval after all information is provided. However, no payment can be issued unless additional support funding is received.

- Chief and Council

Michel First Nation / Friends of Michel Society
COVID-19 Support Funding Application
2021-2022

Applicant Information

* Indicates required field

Name *

First

Last

Date of Birth (YYYY-MM-DD) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email (or n/a if not applicable) *

Reg.#838---.---.-- or Descendant of: *

Adult (18+) Members and Descendants of Michel First Nation as contained on the Membership List held by Chief and Council are eligible to apply for this COVID-19 support funding.
To register, contact Roy Goerz at [email protected] Proof of ancestry may be required.
Address changes submitted on this form will be updated on the Membership List.
NOTE: ALL ABOVE FIELDS ARE MANDATORY – Incomplete applications will not be processed

Please select area(s) of need: *

Food $300 per applicant Transportation (fuel, delivery of goods) $50 per applicant Cleaning Supplies (hand sanitizers, soap, wipes) $50 per applicant Seniors Support (prescriptions, medication) (60 yrs.+) $100 per Senior applicant Child and Family Supports (educational materials) $100 per child under 18* Online Learning Support (purchase of computer/tablet) $500 *limited to one request per family*

For child and family supports, indicate number of children under 18: *

Declaration and Date *

I certify that my answers are true and complete to the best of my knowledge

Date *

Submit

For those more comfortable using a paper form, you can download, fill out, and mail this form to:
Michel First Nation
22-53009 Range Road 20
Parkland County AB T7Y 2G8

covid-19_support_funding_application_2021-2022.pdf
File Size:	153 kb
File Type:	pdf

Download File

CovID-19 Assistance

Michel First Nation / Friends of Michel Society COVID-19 Support Funding Application2021-2022 Applicant Information

Michel First Nation / Friends of Michel Society
COVID-19 Support Funding Application
2021-2022

Applicant Information