Individual

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

Supported by: lottery

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