Grant Application Form

Grant Application Form
Applicant Information
Name of Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal Code
Phone Number

Area CodePhone Number
Fax

Area CodePhone Number
E-mail
Diocesan affiliation (if any)
Are you a registered charity?
CRA Registration Number
Names of Directors
Names of Officers
Name of Manager or CEO

First NameLast Name
Nature, objectives, and brief history of the applicant
Financial Statements for last year

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Acceptable formats: DOC, PDF, XLS Cancelof
Budget for current year

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Acceptable formats: DOC, PDF, XLS Cancelof
Project or Service Information
Amount of Grant Requested
Description on project or service (intended use)
The application must be signed by the President/Chief Executive Officer of the applying organization. Please enter their name below. The named executive must digitally sign in the appropriate space.
Executive Name

First NameLast Name
Executive Title
Executive Signature
Please provide the name of an individual with your organization from whom further information may be obtained:
Contact Name

First NameLast Name
Contact Title
Contact Phone Number

Area CodePhone Number
Should be Empty:

Applicant Information