Subsidy Application

This information is being collected for the sole purpose of this application.

The information included in this application will not be shared with anyone outside of Christian Counselling Ottawa and will only be stored in the client’s file.
Subsidy will be given to those who generally meet these two criteria:

  • Household income below $30,000
  • No insurance benefits coverage

Following reception of the application, you will be contacted by our Client Care Coordinator to establish the session fee amount which will then be sent to the Business Director for approval. If approval is granted, a Subsidy Statement of Understanding will be sent to you with the details listed for your signature.

This will be returned to our Client Care Coordinator to be put on your file.

An approved subsidy is 10 weeks in length. If more weeks are required, a subsequent questionnaire will need to be completed.

Subsidy Application

Name(Required)
Address(Required)
Total Income includes all people who are contributing to the finances of the household.
Max. file size: 2 MB.
Please include anything else that should be considered in the decision process

Declaration Statements