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Adult Application

(Post brain injury or Designated disability)

By providing the below information you are giving We See BC Foundation and its directors, affiliates and partner clinicians access to this information. Your information will be stored with We See BC Foundation and used to make a funding decision. Your data will not be sold or shared. We will contact you for information or regarding your funding decision. Please check here if you consent to give your information to We See BC Foundation. If you receive funding through We See BC Foundation, the funding must be used through one of We See BC’s approved providers. This is to ensure funding goes toward services which are evidence based and align with We See BC Foundation goals and objectives.
I Agree to the Above Statement
What Funding Are You Requesting (select all that apply)
Name of Applicant
Was the Applicant Referred to WE See BC Foundation by a Provider or Organization
Does the Applicant Have Injuries or Diverse Abilites (select all that apply)
Does The Applicant Receive Ministry Coverage
Does the Applicant Receive any of the Following
What is the Applicant's Total Household Net Income
Does the Applicant have Extended Health Benefits Such as Through Employer Ministry or First Nations Health

Thank you!

We have received your submission.

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#WESEEBC
weseebcfoundation@gmail.com 207-3330 Richter St Kelowna BC V1W 4V5
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