Please kindly complete the attached form. Please note that you will not be able to save your work and will need to complete and send the form in one sitting. If you are a parent applying on behalf of more than one person/child, please fill out a separate form for each person/child.
The information provided on this application will be treated in the strictest confidence and shall only be viewed by the members of MACT.
By submitting this form you confirm that all matters stated and information contained in this Application form is true to the best of your knowledge, information and belief.
You understand that MACT may contact organizations/individuals referred to in the application to verify information as required.
You understand that the decision of MACT trustees in relation to any refusal to grant financial assistance is final and there is no right of appeal therefrom but you shall be entitled to reapply if your circumstances change.