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 ____________________________________
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
OR Email: barrygruell@sasktel.net
Application Form – click for a printable form or to down load
Follow Up Report – Individual – click for a printable form or to down load
