| Cranbrook & District Community Foundation | ||||
| GRANT APPLICATION FORM | ||||
| 801B Baker Street, Cranbrook, BC V1C 1A3 | ||||
| Organization(legal name) | ||||
| Organization operating name(if different than above) | ||||
| Address | Phone No. ( ) | |||
| Fax No. ( ) | ||||
| E-mail address | ||||
| Contact Person | Phone No. ( ) | |||
| Registered Charity No. | Registered Business No. | RR |
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| BC Society No. | ||||
| Project Title | ||||
| Project Description | ||||
| Plan of Action | ||||
| Amount Requested: $ | ||||
| Total Project Budget: $ | Please attach detail | |||
| Financial Statement for last complete year | Please attach | |||
| Organization's operating budget for current year: $ | Please attach detail | |||
| Mandate and activities of applicant organization | ||||
| Goals and objectives of project | ||||
| Description of Community involvement and collaboration with other agencies | ||||
| The following questions are intended to help in the thinking that should go into the development | ||||
| and implementation of your project. If your request for a grant is approved you will be asked, after | ||||
| the project is completed, how the project measured up against these kinds of expectations: | ||||
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| (1) Board of Directors | Please attach list | |||
| Chairperson/President: | ||||
| Name | Title | |||
| Tele.No.( ) | Fax No. ( ) | |||
| (2) Staff Name | Title | |||
| Tele.No.( ) | Fax No. ( ) | |||
| Authorized Signature:____________________________________________ | ||||
| Title:_________________________________________________________ | Date:________________ | |||