IndividualAPPLICATION – revised 2020 – click for a printable form or to down load
IndividualFOLLOW UP REPORT – revised 2020– click for a printable form or to down load
Application for Grant – Individual
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 individual applying: _____________________________________________________________
Address: _________________________________ City/Town: ___________________________
PC: _______________________Telephone: ________________________
Signature _______________________________________________
Type of Event: _______________________________ Date of event _____________________
Location of Event _______________________________________________________________________
Please describe the benefits to you and the community you participate in by attending this event. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Estimated Expenses:
Registration $____________________
Travel $____________________
Accommodation $____________________
Other (specify) ________________ $____________________
_____________________________ $____________________
Total estimated expenses $____________________
Amount of grant request $ ____________________
Within 45 days of the event, a follow-up report is required. (See Grant Criteria)
Mail to:
Donna Gruell, Business Manager
163 Church Drive, Regina, SK S4X 1L8
Email barrygruell@sasktel.net
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OFFICE USE ONLY |
