Name of Organization
Maximum 255 characters
0/255
BC Society Incorporation Number
CRA - Charitable Registration Number (if applicable)
Address
Contact Person
Phone Number
Email Address
Purpose of Organization (From Constitution or Incorporation Documents)
How long has the organization operated in the community?
Executive positions in the Organization
Aid Requested
Have you received funding from the District previously?
What plans has your organization made to fund its activities over the next 3-5 years?
If your organization charges user fees/memberships/admission, please provide your current fee structure or email to info@districtofmackenzie.ca once this survey has been completed and submitted.
What are your organization's specific goals and objectives for this year? How do they differ from previous years?
Who does your organization serve? (% of clients from Mackenzie, % of clients outside Mackenzie)
Does your organization receive a rental subsidy from the District? If so, how much?
Does your organization receive any benefit from permissive tax exemption and if so, how much? (information available from District Finance Department)
How will you indicate that the District is contributing to your organization?
Brief description of proposed use of grant being applied for and why you believe it should receive District funding:
How do you know there is a need for this service/project in our community?
Is your agency applying for funds from other levels of government or sources for this project? If so, please list:
Will you still be able to complete the project if you do not receive the other funds applied for?
Please describe the impact of this application being denied or approval of an amount less than requested:
Start date of this project:
End date for the project
Please describe the key activities that will take place to complete the project and any associated timelines.
Please down load and fill out the Proposed Budget Form and email it to info@districtofmackenzie.ca after completing this survey. Please include your organization name in the subject.
APPLICATION CHECKLIST : Please ensure you have completed the following for grant applications. All additional forms/statements can be submitted to info@districtofmackenzie.ca once you have completed this survey. Please include organization name in the subject.
I also certify that the information contained herein is correct to the best of my knowledge and belief. I understand this application including any enclosures submitted is public information. I authorize reproduction of any plans/reports for the purposes of application processing and reporting.
