Group

Application for Grant – Group

To be submitted to the Business Manager prior to April 15th to cover Grant Period August 01 – July 31. Applicant must be a member of the SSRDF Inc.

Zone # ______            ____                Date ___________________________      File __________________

Name of organization applying: ______________________________________________________________

Name of individual applying: ________________________________________________________________

Address: ______________________________________  City/Town: ________________________________

PC: ___________________Telephone: ________________________

Signature _______________________________________________

Type of Event: ___________________________________________________________________________

Location of Event _____________________________Date of event ______________________________

Name & Address of caller/cuer/instructor for event _____________________________________________

_______________________________________________________________________________________________

BUDGET:

Estimated number of people attending _______ Total estimated Income $__________________

Estimated Expenses:

Instructor                    $____________________                  Facility                   $__________________

Expenses, travel, etc.  $____________________              Miscellaneous         $__________________

Promotion                   $ ___________________
Other (specify)_____________ __________________                                           $__________________

____________________________________________                                                 $__________________

Total estimated expenses                                                                             $__________________

AMOUNT OF GRANT                                                            $_______________

lotterylogo

Please include with this application any notices/advertisements/posters/registration forms. The Lottery logo should be on all advertising.

Mail to: Donna Gruell, Business Manager
               163 Church Drive, Regina, SK S4X 1L8
OR          Email: barrygruell@sasktel.net

Click on each heading below for a printable form or to down load:

APPLICATION – Group revised 2018

Attendance Report Form

FOLLOW UP REPORT – Group revised 2018