Pemberton and District Initiative Fund Reporting Form

Long-Term Agreement Funding PDIF grant reports must be submitted to the SLRD by 4:00 pm, November 15th.

The Squamish-Lillooet Regional District is committed to respecting and protecting the privacy of our website visitors. For more information, visit the SLRD Privacy Policy and Collection of Personal Information.

Organization Information

Report Date

Organization Name

Primary Contact Name

Primary Contact Phone

Address

Address 2

City/Town

Province

Postal Code

Primary Contact Email Address:

Annual Funding amount $

Total Funding amount $

1. Please briefly describe your project, program or activity that was supported by the Long-Term Funding

2. Please describe the primary accomplishments of your project, program or activity and how these align with the objectives contained in your funding application. How is the success of your project, program or activity demonstrated? If you did not achieve your intended results, please explain why.

3. Please provide an estimate of how many Village of Pemberton and Electoral Area C residents and non-residents were served by your project, program or activity. How did the project, program or activity impact the well-being of those residents and non-residents?

4. Please provide a financial summary of the project, program or activity, including how the grant funds were used compared to the budget submitted with the initial funding application (if additional space is required, please attach a separate page).

5. Has the SLRD and the Village of Pemberton’s funding contribution been publicly acknowledged? Please provide details.

Additional Documents

One file only.
512 MB limit.
Allowed types: pdf.

CAPTCHA