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OAKVILLE AND DISTRICT COMMUNITY ENDOWMENT FUND GRANT APPLICATION 1. APPLICANT INFORMATION NAME ADDRESS CITY/TOWN POSTAL CODE PHONE FAX E-MAIL YEAR ESTABLISHED NUMBER OF EMPLOYEES NUMBER OF MEMBERS Where appropriate please provide as attachments: __ List of officers or the Governing Board __ Last fiscal year financial report __ Current fiscal year operating budget 2. GRANT REQUEST AMOUNT REQUESTED WHEN ARE FUNDS NEEDED TYPE OF GRANT REQUESTED: __ Sports and Recreation __ Arts and Cultural __ Non sport youth or heritage activity __ Social or environmental __ Special Project __ One-Time Capital Project STARTING DATE PROJECT DURATION 3. Provide a project budget indicating anticipated income and expenses._______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ 4. Provide a brief statement of the purpose of the project and the relationship to the project to the overall goals and services of the agency. _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 5. Cite evidence of the human or community need for the project specifically stating its significances to Oakville and district. Describe consultations held with other organizations that relate to this project. _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 6. Describe the capacity of your organization to conduct the project. _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 7. Have you approached other sources of support? __Yes __ No Please list those approached indicating level of support obtained. _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 8. If this project is successful, what financial resources will be available for its continuation? _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 9. Has this project been authorized by your agency’s governing body? __Yes When? ______________________________ __ No THIS APPLICATION MUST BE SIGNED BY THE PRESIDENT OR ANOTHER OFFICER OF THE AGENCY’S GOVERNING BODY: ________________________________ ________________________________ Signature Title NAME OF INDIVIDUAL FROM WHOM FURTHER INFORMATION MAY BE OBTAINED: _________________________ _____________________ ____________ Name Title Telephone Please return application to: Oakville Community Club Inc. P.O. Box 344 Oakville, MB R0H 0Y0 Application Deadline September 30th If you have any questions please contact the Oakville Community Club: Phone: 267- 2886 or 267-2394
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