Assurancia is represented in several cities of Quebec. We want to be involve in the different regions where we are represented. Assurancia encourage requests for sponsorship from organizations working for youth and children.

As Assurancia receives a large amount of support request, we ask you to kindly complete the attached form. This approach will allow a fair and expeditious processing of your application.

All fields identified by an asterisk (*) are mandatory.

Describe the organization you are applying for financial support

We would like to have more information about the person making the request for sponsorship.