The Fonds 33 was set up as a result of a collaboration between the Fondation MÉMO-Qc and the Fondation 33. It is a financial support that aims to improve the quality of life of people with spinal cord injuries, specifically those living with an important financial challenge.
SECTION 1 – Eligibility Criteria
- be a member of MEMO-Qc;
- be a resident of Quebec;
- have a spinal cord injury;
- require financial support to fill an important need related to their spinal cord injury.
The requested financial support must improve the quality of life of the beneficiary by promoting their safety, autonomy, or social integration or by giving respite to the person concerned and his entourage. It must allow access to services that are only partially covered, that are not covered at all or that are not available due to program limitations, lack of resources or delays that result in a long waiting period. Note that written proof may be required on this subject.
Assistance requested must be to help the beneficiary in one of the following ways:
- Adapting residence;
- Adapting of a vehicle;
- Purchase of specialized equipment;
- Health and social services;
- Activities related to leisure, sports or the arts;
Note that most of these areas are usually covered in part or in whole by programs provided by the provincial government. It is therefore your responsibility to make use of these programs before making a request for something that may be covered by an existing program.
To better understand if your need might be a valid request for assistance from Fonds 33, ask yourself if you would have had to cover these expenses had it not been for your disability.
Your request for assistance may be used to cover costs in the following ways:
- Expenses to provide access to a residence, or to adapt a room in the residence to assist a person with mobility issues, which are not otherwise covered;
- Expenses beyond what is covered to adapt a vehicle for a driver or passenger with mobility issues;
- Purchase of an environmental control device or technical aid to help with safety and independence;
- Access to a health care specialist for a specific need;
- Assistance related to education;
- Expenses related to an adapted sport or artistic interest, or to cover the cost of a aide to accompany you to a sport or artistic event;
- Cost of a plane ticket or expenses for a family member care-giver or assistant when taking a trip.
SECTION 2 – Terms
The budget allocated for the year 2020 is $ 25,000.
- The minimum amount of financial assistance is $ 50.
- The maximum amount of financial assistance is $ 5,000.
SECTION 3 – Dates
Receipt and analysis of applications will be done only once a year.
- All applications must be made between October 28, 2019 and December 6, 2019.
- Applications will be analyzed in January 2020.
SECTION 4 – Procedures
- The recipient or applicant must complete and submit the required form and supporting documentation within the prescribed timeframe for their application to be accepted.
- The recipient or applicant must remain available and open to providing more information to the evaluation committee if necessary.
- Each application will be analyzed by a committee made up of representatives of the Foundation 33, the MEMO-Qc Foundation and health professionals. Members of the committee are:
– Josée Dubois, occupational therapist at the Montreal Gingras-Lindsay Rehabilitation Institute (IRGLM)
– Marie Riley-Nobert, occupational therapist at the Montreal Gingras-Lindsay Rehabilitation Institute (IRGLM)
– Marie-Blanche Rémillard, President of the Board of MÉMO-Qc
– Maxime Girard, Executive Director of the Fondation 33
– Walter Zelaya, Executive Director of the Fondation MEMO-Qc.
- All applications will be treated fairly, equitably and confidentially.
- All decisions, favorable or unfavourable, will be communicated to all applicants.
- If financial assistance is granted, you will be requested to provide the corresponding invoices as proof.
- A purchase made prior to the filing of the application will not be refunded.
SECTION 5 – Application Presentation
Note that only one application per person is allowed, that your application must be the subject of a single request and that absolutely all sections of the form must be duly completed and all the supporting documents provided without exception. Any application deemed incomplete will not be submitted to the selection committee. It is your responsibility to ensure that it is complete. If you require assistance, please call (514) 341-7272.
All files must be submitted together as one document and presented in the following order:
- Application form (MANDATORY)
- Proof of income (MANDATORY)
- Submissions and / or invoices (MANDATORY)
- An occupational therapist report (MAX: two pages) (OPTIONAL)
- Any other relevant document (MAX: two documents) (OPTIONAL)
SECTION 6 – Contact Information
Please return this form and supporting documents:
- By email: firstname.lastname@example.org
- By fax: (514) 341-8884
- By mail: addressed to the Fondation MÉMO-Qc at 6020 Jean-Talon Street East, suite 400, Montreal Qc., H1S 3B1