Application for Grant in Aid

Organization Information

Organization

Date

Date of Incorporation

BC Society Act Reg. No.

Revenue Canada Charitable Reg. No.

Date of Registration

Board of Directors

List all board members

Contact Information

Address

Contact Person

Mailing Address

Alternate Contact

Phone

Fax

Alternate Contact Phone

Organization Details

Geographic Area Served by the Organization

Members in Good Standing

Highland Members

No. of Full Time Staff

No. of Part Time Staff

No. of Community Volunteers

No. of Volunteer Hours per Year

Clients Served Last Year

Clients Served, This Year (Projected)

No. of Highland Residents

No. of Highland Residents (Youth)

Financial Information

Current Budget $

Current Budget - Income $

Current Budget - Expenses $

Requested Grant $

Financial Statements

Your organization's most recent audited financial statements, current financial statement and balance sheet and income statement must be attached.
Unlimited number of files can be uploaded to this field.
64 MB limit.
Allowed types: pdf, doc, docx, xls, xlsx.

Application Questions

1. Provide a brief history of your organization

2. Objectives/ purpose/ mandate/ mission statement of your organization

3. Outline the services and/or facilities your organization has provided in the District of Highlands

4. What is the intended use of the funds

5. List of other organizations contacted and amount of funds requested

Previous Grant History

6. Has your organization applied for a grant from the District of Highlands previously

Yes

If yes, please provide details (Project, Year, $ Received)

Re-order	Project	Year	$ Received:	Weight	Operations
	Project	Year	$ Received:	Item weight

more items

7. Details relative to recent efforts the organization has made to make it self-supporting

Project Details

8. Provide a description (and date) of this project or special event, its objectives, and its budget

9. Provide a brief summary of the benefits of your project which are directly or indirectly going to affect the District of Highlands residents

Council Presentation

10. Does your organization wish to make a presentation to Council?

Yes

If yes, provide presenter and contact number

Declaration

The following declaration must be completed by a signing director/officer of the organization:

On behalf of the organization, I hereby declare that all information presented and provided with this application to be true and correct.

Name

Position

Signature

Sign above

Date

Please Note:

Grant in Aid funds approved by Council will not be issued until July of each year;
Unused grant funds received by any organization shall be refunded to the District of Highlands; and
Council reserves the right to discontinue funding of any or all Grant in Aid funding to specific organizations.