Application Deadline is April 1, 2020.
Late Applications cannot be processed.

Please note that all information regarding your child/youth is confidential. This information is used to assist the NSDRC in providing the best possible support.

Funding allocations are made in conjunction with representatives of Ministry of Children and Family Development (MCFD) and other service providers on the North Shore. Submission of your application confirms your consent to share information as required with these service providers.

Please review and complete the following sections.

PART ONE: CONTACT INFORMATION

Child / Youth First Name

Child / Youth Last Name

Child / Youth Address

City

If other, what city?

Postal Code

Primary Contact First Name

Primary Contact Last Name

Primary Contact Relationship to Child / Youth

Primary Contact Phone Number: Main

Primary Contact Phone Number: Secondary

Primary Contact Email Address

Primary Contact Addresssame as above OR

Primary Contact City

If other, what city?

Primary Contact Postal Code

Secondary Contact First Name

Secondary Contact Last Name

Secondary Contact Relationship to Child / Youth

Secondary Contact Phone Number: Main

Secondary Contact Phone Number: Secondary

PART TWO: DEMOGRAPHIC INFORMATION

Child/ Youth Gender

Child / Youth Birth Date (MM/DD/YYYY)

Child / Youth Age on July 1, 2020

Municipality

If other, what municipality?

Language spoken at home

Diagnosis / Support Need

Briefly describe your child / youth's support needs

Do you currently receive services from the Ministry of Children and Family Development (MFCD)?YesNo

Type of services received

I am applying for a bursary to:Pay camp feesPay for a support worker

COMPLETE THE NEXT SECTION IF YOU ARE APPLYING FOR A BURSARY TO PAY CAMP FEES.
Otherwise, skip ahead to the support worker section.

If you applying for a bursary to pay for camp fees, how much funding are you requesting?

Name and location of Camp (if known)

Camp dates (if known)

COMPLETE THE NEXT SECTION ONLY IF YOU ARE APPLYING FOR A BURSARY TO PAY FOR A SUPPORT WORKER.
Otherwise, complete the camp fees section above.

If you applying for a bursary to pay for a support worker, how much funding are you requesting?

How much per hour will you pay?

Do you have a worker that you can hire?

Form submitted successfully, thank you.Error submitting form, please try again.

Our Senior Team

Jessica Neville: Executive Director

Fenella Boase: Director, Human Resources

Igor Dobrokhotov: Finance Manager

Kathleen Jessop: Director, Community Based Services

Kim Miles: Director, Residential Services

Dave Umbach: Operations Manager

Our Board of Directors

Dan Blue: President

Kathie Best: Vice President

Catherine Abraham: Secretary

Chris Yetman: Treasurer

Heather Blanchard: Member

Kelly Bourne: Member

Linda Dong: Member

Bob W. McCormack: Member

Kulvir Mann: Member

Mary-Ann Wasnick: Member

Emily Yu: Member

contact us

North Shore Disability Resource Centre

3158 Mountain Highway

North Vancouver, BC

V7K 2H5

telephone: 604-985-5371

email: nsdrc@nsdrc.org

The North Shore Disability Resource Centre was started by a handful of families in 1976. In the years since, NSDRC has worked for a "Community for All" by developing and providing residential services, infant development programs, youth groups, community based services, and information and advocacy.

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