Alberni-Clayoquot Region Grant-In-Aid Application Form (Page 2 of 3) in pdf

Alberni-Clayoquot Region Grant-In-Aid Application Form Page 2

Page 2

Please describe how the services provided by your organization fill a need in the

community:

_____________________________________________________________

Please list all other grants received and/or applied for from other Governments or Service

Organizations:

_____________________________________________________________

Has your organization received a Grant-in-Aid in the past from the Regional District?

G yes

G no

If yes, complete the following:

Year: ___________ Amount: _____________

Please include with your application, copies of the following:

(a)

Annual Report;

(b)

A copy of your organizations current year budget and latest financial

statement;

(c)

A brief report outlining what the Grant-in-Aid would be used for.

Submit your completed Grant-in-Aid Application, including the above documentation to:

Corporate Secretary

Alberni-Clayoquot Regional District

3008 Fifth Avenue

Port Alberni, BC V9Y 2E3

The Deadline to Submit Grant-in-Aid Applications is January 31

of each year.

Late applications will not be accepted and returned to the applicant.

If you have any questions regarding this application or the information required,

please call (250) 720-2700.

______________________________

____________________________

Signature of Applicant

Date

For Office Use Only

Amount Awarded:

Date Approved:

Participating Areas:

Alberni-Clayoquot Region Grant-In-Aid Application Form Page 2