Pemberton and District Community Fund Grant Application Form

Date: *

Year

Month

Day

Applicant Information

Name of Organization: *

Contact Person: *

Position: *

Mailing Address: *

Phone: *

Fax:

Email: *

Website:

Purpose of your organization and description of the types of activities your organization is involved in. *

How many persons and what area does your organization/group serve? *

What is the status of your organization? *

Community Group

Not for Profit

Society

Special Interest

PROPOSED PROJECT INFORMATION (please complete the questions below).

Budget information

Specific Amount of Grant Requested: *

Total Event Budget Revenue and Expenses Amount:

Total Fundraising (funds from other sources):

Please attach a detailed budget including revenues, expenses, donations, volunteer contributions.

Files must be less than 20 MB.
Allowed file types: txt rtf pdf doc docx odt odp xls xlsx ods.

If requesting funds equal to or in excess of $500:

If requesting funds equal to or in excess of $500, explain how you will use the grant to leverage and create additional financial value (i.e. funding from other governments, funding from other sources, corporate sponsorships, matching funds of the application, in-kind contributions from sources other than the applicant, etc.).

List other agencies / organizations / grants whose financial or in kind support has been requested or received for this project. Please include the Name of the agency, the amount requested and the status of the request.

Other Agencies

	Name	Amount Requested	Status of Request
Agency
Agency
Agency
Agency
Agency

Provide a brief description of the proposed use of the grant funds: *

Explain how the program / activity / event will strengthen and enhance the well-being of the community: *

How many Pemberton / Area C residents will benefit or participate in the event? *

Please include any other information you may wish to add in support of your application.

Indicate the time frame of your program / activity / event.

Start date: *

Year

Month

Day

End date: *

Year

Month

Day

Applications must be received at least 30 days prior to the program, activity or special event commencement.

Please use the fields below to upload supporting documents related to your application (e.g. detailed budget, project plans, society documentation, letters of support, etc.).

I Want To...

Search

Pemberton and District Community Fund Grant Application Form

Welcome to the Squamish-Lillooet Regional District

Contact

Stay Connected

Disclaimer

Search

Search form

Pemberton and District Community Fund Grant Application Form

Welcome to the Squamish-Lillooet Regional District

Contact

Stay Connected

Disclaimer