Grant Writer Support Program - Request for Assistance Form

Grant Writer Support Program - Request for Assistance Form

Please fill out this form with as much detail as possible. For any questions, please contact grant.writer@ccrd.ca or DCO Erin Nevison at enevison@ccrd.ca.
Privacy Management: The personal information on this form is being collected in accordance with Part 3 of the Freedom of Information and Protection of Privacy Act RSBC 1996 c. 165 and will only be used for the purpose of responding to this request. If you have questions about the collection, use or disclosure of this information, please contact the Central Coast Regional District at 626 Cliff Street, Bella Coola BC VOT 1C0, call 250-799-5291 or email info@ccrd.ca.
Part A: Applicant Information
What is your organization's name?
Organization Type:

Not-for-profit OrganizationIndigenous OrganizationSchool and School BoardsRegistered CharityFaith Based OrganizationCommunity GroupOther
If 'Other', what is the type of your organization?
What is the purpose/mandate of your organization? How does it benefit the community?
Contact Person for the Organization
Position at Organization
Organization's address
Website/Social Media
Phone Number:
Email address
Organization's Area(s) of Interest

Arts & CultureEducationSports and RecreationEnvironmentalSeniorsChildren & YouthCommunity Safety & AwarenessHealth & WellnessOther
If you chose 'other', what is your organization's area of interest?
What type of assistance are you looking for?

Identification of Funding SourcesDevelopment of a Project PlanReviewing ProposalsWriting Grant Applications
Is there a specific funding opportunity your organization is currently interesting in or looking for?

YesNo
If 'yes', please specify more below.
Part B: Project Information
Provide a brief description of your project(s):
Provide an estimated cost for your project(s):
Does your organization have any other sources of funding? (e.g., government, trust, in-kind, etc.)
Part C: Supporting Documents
Please indicate which supporting documents your organization has:
If 'other', please specify more:
Should be Empty:

Grant Writer Support Program - Request for Assistance Form

Part A: Applicant Information

Part B: Project Information

Part C: Supporting Documents