KAMLOOPS FOUNDATION

Grant Application Form

Organization     Organization operating name (if different than above)     Address     Phone No.   Fax No.   Email   Website     Contact Person     Phone No.   Registered Charity No.     Registered Business No.     B.C. Society No.     Mandate and activities of applicant organization     Project Title     Goals and objectives of project     Project Description     Plan of action     Amount Requested     Total Project Budget     attached     Description of community involvement and collaboration with other agencies     How do you intend to publicize any assistance you receive from Kamloops foundation?     Board of Directors   Chairperson/President   name     title     Phone No.   Fax No. Staff   name     title   Phone No.   Fax No.   Financial Statement for last complete year     Operating budget for current year     Authorized by     Title     Date March 2010 S M T W T F S 10 28 1 2 3 4 5 6 11 7 8 9 10 11 12 13 12 14 15 16 17 18 19 20 13 21 22 23 24 25 26 27 14 28 29 30 31 1 2 3 15 4 5 6 7 8 9 10         Text From Image (above):

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The following questions are intended to help in the thinking that should go into the development and implementation of your project. If your request for a grant is approved you will be asked , after the project is completed, how the project measured up against these kinds of expectations:

• What strengths and abilities to be found among community members will your project require?
• Are there new skills that individuals will have to develop in order for the project to succeed?
• In what kind of ways will people in the community need to work together for the project's planning and implementation?
• In what ways will you know that your project has contributed to improving your community?

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