Group

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GroupAPPLICATION – revised 2020
GroupFOLLOW UP REPORT – revised 2020
Attendance Report Form revised 2020

Application for Grant – Group
To be submitted to the Business Manager prior to April 15^th 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 REQUEST                                                 $_______________

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

OFFICE USE ONLY Date Received ___________________ File # ___________ Grant Approved _________________ Approved by ___________________

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