Your Name(Required) Email(Required) Phone If selected, how would you prefer to be contacted?By EmailBy PhoneOrganization / Association Name First Responder CategoryFirePoliceConservationEmergency MedicineParamedicEmergency ManagementCorrectionsEssential ServicesOtherIf other, what? Ontario Based Organization / Association:YesNoTell us a little bit about you and your organization / association:9. Tell us about your community initiative, engagement campaign, event or charitable need. How are you and your crew hoping to make a difference in your community? How could Medallion funding contribute to your project?Please Upload a Photo if Applicable (*If you have issues attaching your photo please email to memberservices@mcfr.ca)Max. file size: 50 MB.Please Upload a Photo if ApplicableMax. file size: 50 MB.10. As part of the 6K Community Giveaway, we are offering additional ways to give and receive. By entering, you will automatically be included in weekly draws! Winners will receive $100 to benefit your selected community initiative or donate to a charity of your choice. If selected in the random draw, where would you like us to direct the $100? 11. If selected as a 6K Community Giveaway recipient, do we have your permission to acknowledge your community initiative and funding on our website and social media channels?(Required)YesNoCAPTCHA Δ
