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Saskatchewan Square and Round Dance Federation Inc.
APPLICATION FOR GRANT – INDIVIDUAL
To be submitted to the Business Manager prior to April 15th to cover grant requests for the following period August 01 – July 31.
Applicant must be a member of the SSRDF Inc.
Zone # …………….. Date ……………….. File # …………….
Name of Individual applying: …………………………………………………………………
Address: …………………………………………………………………………………………..
Telephone # …………………………….. Postal code: ……………………
Signature: ……………………………………………………………………………………..
Type of Event: …………………………………………………………………………………….
Location of Event:…………………………………. Date of event …………………………..
What techniques do you expect to learn at this event? .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
…………………………………………………………………………………………………… . . . . . . . . . . . . . . .
…………………………………………………………………………………………………… . . . . . . . . . . . . . . .
Estimated Expenses:
Registration ……………………….. $ …………………..
Travel ……………………………… $………………………..
Accommodation ………………….. $ ………………….
Other ……………………………… $ ………………….
…………………………………….. $ ………………….
Total estimated expenses ……. $ ………………….
Amount of grant request…………… $ …………………..
Within 45 days after the event a follow up report is required providing the following:
| 1 ] A COPY of all receipts of expenses, excluding meals |
| 2 ] Travel expenses: airline receipt or if by car then return distance @ $.40 / km |
| 3 ] Accommodations: copy of hotel receipts |
| 4 ] A brief report of impact of event. |
| Mail report to:
SSRDF Inc.
Kay Hauer, Business Manager
#17 – 2310 – 53rd Ave
Lloydminster AB
T9V 2S4 |
Inquiries:
Phone: 780-875-2761
Email: Click Here |
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NB – Please copy and paste to a Word document. You will be able to type your information on it and print.
OR click on Individual Application
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