Donation Form

Donations Application Form
Name*
Name of Organization
Contact Information
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address
City
Province/Territory
Postal Code
Expression of Interest

Note: Please refer to the GTC Donations Policy found here: https://www.gwichintribal.ca/policies.html
Which of the GTC Donation Policy Objectives does this request support (see Donations Policy Guidelines)?*

Community-based cultural and social developmentCommunity-based health improvementYouth developmentother
If other, briefly describe objective.
Which of the GTC stated priorities does this request meet (see Donation Policy Guidelines)?*

Cultural DevelopmentSocial DevelopmentCommunity Health ImprovementYouth DevelopmentOther
If other, briefly describe priority.
Background information on the organization requesting a donation:*
A summary of the project for which funds are being requested:*
Benefits and results anticipated:*
Budget information for the program or project:*
Information on other sources of project support and financing:*
Description of recognition the GTC will receive (advertising, announcements at event, banners, etc.):*
Signature*

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Date

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Date
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Donations Application Form