Phone: 1-902-226-2400

Toll Free: 1-800-567-2600

Community Organization Grant Application

Department of Recreation, Leisure & Community Relations

PO Box 120
Arichat, NS B0E 1A0
Tel: (902) 226-2400
Fax: (902) 226-0295

Complete online form or download Community Organization Grant.

Organizational Information

Name of Organization: (*)
Invalid Input

Date(*)

Invalid Input

a) President/Coordinator

Name:(*)
Invalid Input

Address:(*)
Invalid Input

Telephone:(*)
Invalid Input

(b) Vice-President

Name:(*)
Invalid Input

Address:
Invalid Input

Telephone:
Invalid Input

(c) Secretary

Name:(*)
Invalid Input

Address:
Invalid Input

Telephone:
Invalid Input

(d) Treasurer

Name:(*)
Invalid Input

Address:
Invalid Input

Telephone:
Invalid Input

Purpose of Organization

(a) Is your organization under the Societies Act?(*)
Invalid Input

If no, please provide purpose:
Invalid Input

Please attach a copy of last year's financial report, if available
Invalid Input

Activity / Event Information

Type of Grant:(*)

Invalid Input

Description and purpose of your program, activity or event:
Invalid Input

Age group of participants:
Invalid Input

Geographical area served:
Invalid Input

Number of participants (actual or anticipated):
Invalid Input

Finances

Expenditures:
Leadership:
Invalid Input

Administration
Invalid Input

Transportation:
Invalid Input

Facility Rental
Invalid Input

Material & Supplies
Invalid Input

Other:
Invalid Input

Other:
Invalid Input

Total Expenditures:
Invalid Input

Revenues:

Registration fees to participants:
Invalid Input

Membership:
Invalid Input

Fundraising:
Invalid Input

Donations:
Invalid Input

Other:
Invalid Input

Other:
Invalid Input

Total Revenues:
Invalid Input

Amount requested from the Richmond County Department of Recreation, Leisure & Community Relations:
Invalid Input

Has this program been assisted by this Department in the past?(*)
Invalid Input

If so, during what year(s)?
Invalid Input

Applicant Information

Name:
Invalid Input

Position:
Invalid Input

Mailing Address:
Invalid Input

Telephone:
Invalid Input

Email(*)
Invalid Input

Date

Invalid Input

Selecting this check box confirms that the information submitted is factual. (*)
Invalid Input

(*)

RefreshInvalid Input