Application for Grant – Club
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 ____________________________________
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 _______ Charge per person___________________
Estimated Expenses:
Instructor $____________________ Facility $__________________
Expenses, travel, etc. $____________________ Miscellaneous $__________________
Promotion $ ___________________
Other (specify) ___________________________ $__________________
____________________________________________ $__________________
Total estimated expenses $__________________
AMOUNT OF GRANT REQUEST $_______________
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:
