Individual

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 
Date Received______________
File # ___________
Grant Approved ________________
Approved by ___________________