Organization Legal Name
Address
Street Address
City
Province
Country
Country
Postal code
Phone
*
Email
*
Briefly tell us the function/purpose of your organization in the Municipality of the District of Guysborough. Tell us about the people/groups that you serve in your community (e.g., seniors, community members, children, people with disabilities, etc.) and how your organization delivers benefits to them.
For tracking and reporting purposes, we are interested in knowing how the funding will benefit the community (special event, renovations etc.).
Grant amount requested
$1000
$1500
Requested funds are being used for a specific event or project:
Yes
No
If yes, what percentage of the project budget does this request represent?
Your Signature
Clear
Date of sign
Send