NEED A LITTLE HELP?

Tell us what would make a difference.

Applications are private. Nothing you write here becomes public automatically. If your application is selected, the MapleWish team will work with you before any story, name, or photo is shared.

🔒 Team-only by default 📷 Photo optional 🩺 No diagnosis paperwork required to apply

YOUR PRIVATE APPLICATION

One clear request. Your full context stays private.

About you

Full name Province / territory City / community Preferred contact Phone optional unless phone is selected

What would help?

Type of help Amount requested (CAD) What would the money pay for? Tell us the full story PRIVATE — TEAM ONLY

If your wish is selected

This section helps us understand what you might be comfortable sharing later. It is not permission to publish anything.

How could we identify you publicly? Pseudonym only if selected above Optional public-story draft If selected, I'm open to discussing a public story with the MapleWish team.

Optional private photo

A photo can help the team understand who is behind the application, but it is not required. Uploading one does not grant permission to publish it. Image metadata is removed when uploaded.

📷No photo uploaded

JPG, PNG, or WebP · up to 6 MB

Contract language / Langue des contrats

Les versions françaises sont disponibles en premier. Avis de confidentialité des demandeurs · Conditions de demande English versions: Applicant Privacy Notice · Application Terms

Before you submit I have reached the age of majority in my province or territory, live in Canada, and I am applying for myself or my household. The information I've provided is accurate to the best of my knowledge. I have read and understand the Applicant Privacy Notice. I agree to the Application Terms, including that applying does not guarantee assistance.

Your full application, private story and optional photo stay private unless you later approve specific material for publication. See Story & Photo Publication Consent.

Tell us what would make a difference.

Start a private application

Welcome back

One clear request. Your full context stays private.