Lamont County Community Hall and Transportation Grants Application Form: Lamont County

Application Submission Deadline is June 1

Application period is March 1 through June 1 annually.

NOTE: Grants can only be applied for once per year.

Please note: Application DEADLINE is June 1 (annually)

Policy 3150 - Council Community Halls and Transportation Grant

Review the Council Community Halls and Transportation Grant Policy (3150) prior to applying. Applications are accepted to June 1 each year.

DATE of Application. *

SECTION 1: CONTACT INFORMATION

Name of Organization. *

Contact Person. *

Email Address (organization or contact person). *

Mailing Address (organization). *

Phone Number (organization or representative). *

SECTION 2: APPLICANT INFORMATION

What is the Nature of your Group? *

If "Other", please describe.

Registration Number (if applicable).

Date of Incorporation (if applicable).

Name of Project? *

Project Type

Amount requested (up to $XYZ). *

Describe the program/project/initiative. *

How will the grant funding be used? *

Is your program/project/initiative available to ALL Lamont County residents? *

If you answered "No", please describe the group that will participate/benefit from this program/project/initiative.

What strategic goal does your project/initiative align with? *

Goal 1: New businesses are partners in our growing community.

Goal 2: The community feels safe and is afforded a good quality of life.

Goal 3: Council ls driven by accountability and transparency to the community.

Goal 4: Community assets achieve their maximum useful life and support growth.

Goal 5: We are recognized as a leader in sustainable growth and holistic decision making.

Goal 6: We are committed to genuine relationships.

How does your program/project/initiative meet the(se) goals? *

Is there any additional information you wish to provide?

Past Financial Statements *

Provide an approved copy of your most recent financial statements. Approval can be via signatures of two board members or as prepared by an accountant, based on your organization's legislated requirements.

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FOIP Acknowledgement

Personal information is being collected under the authority of Section 33 (c) of the Freedom of Information and Protection of Privacy Act and may only be used for the purpose it was intended. If you have any questions about collection and use of this information, contact Lamont County Legislative Services at 5303 50 Ave., Lamont, Alberta, T0B 2R0, (780) 895-2233.

Signature of Applicant (Name) *

Signature of Applicant *

By entering the date and time, and your name in the previous field. You are authorizing this submission.

Reporting Requirement

The Lamont County Grants Report form is available in the Council Community Halls and Transportation Grant Policy (3150) (and needs to be signed and submitted as directed) - for annual reporting as required.

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Lamont County Community Hall and Transportation Grants Application Form