Group

Application for Grant – Organizations

Submit to the Business Manager prior to April 15th to cover grant requests for the following period August 1st to July 31st.
Applicant must be a member of the Saskatchewan Square and Round Dance Federation Inc. for them to qualify.

Zone #                                          Date  …….                            File # …………….…

Name of organization applying for grant ………………….. . . . . . . . . . . . . . . . . . . . .

Name of individual applying for grant …… ……………………………………
Address: ……… …………………………………………………….
Telephone … . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .………             Postal Code… ………..
Signature ……………………………………………………………………………………………….…
Type of event              . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Location of event (hall/meeting place)…. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .………………………
Date of event… …. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …………………
Name & address of caller/instructor (for workshop events) …. . . . . . . . . . . . . . . . . . . . . . .                                                                                        . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Project Budget:
Self help – estimate number of people attending. …… . . . . . . . . . . . …
Estimated charge per person … . . . . . . . . . .……. . . . . . . Total Estimated Revenue   . . . . . . . .……….
Estimated Expenses:
Instructor                         $______________              Hall rent                         $___________
Accommodation          $______________                Phone & postage        $__ _________
Travel                            $______________                  Promotion                  $_ __________
Meals (instructor)        $______________                 Miscellaneous              $___________
Other (specify)            ………………………………………………                 $____________
……………………………………………………… _____________         $___________
Total Estimated Expenses ……………………………………………         $_____________

Amount of Grant Request ………..              $_____________

Please include with this application any notices/advertisements/posters/registration form  (the Lottery logo should be on it)

Supported by

Within 45 days after the event (if application is accepted), a follow up report of this event     is required providing the following:

1. please use the follow up report form that will be enclosed with the letter stating that your grant application is approved.
2. a COPY of all receipts (signed) covering expenses (original receipts will not be returned)
3. a master sheet (included with the acceptance letter) with names, addresses, gender       & age group including the caller(s)/cuer(s)/instructors and their partner(s).   It    can be used as sign in sheets or just filled in by typing or writing the names, etc.       Keep the signed lists for your records.   Whatever works for you is acceptable.
4. Brief report of the event.

All promotions of the event must have the Saskatchewan Lotteries Logo displayed.

Mail to:
SSRDF Inc.
  Kay Hauer, Business Manager
   #17- 2310 – 53rd Ave
   Lloydminster, AB T9V 2S4

For inquiries: 780-875-2761    E-mail