Grant Application

Download the PDF version of the Grant Application , or fill out the form below.

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A: Organization Information
Name*
Address*
Street Address City Province Postal Code
Telephone*
Date Established*
No. of Employees / Volunteers
Please enter a value greater than or equal to 1.
Charitable Registration Number
General Description of Organization*

General description of agency, including directly served and principal geographic area of service.

Additional Information
List Full Names of All Executives and Directors *

List all officials of the organization.
Upload a copy of the organization's budget for the current year
Upload a copy of the organization's latest financial statement for the most recent year-end*
Upload a copy of the current project plan (if available) for which this grant is being sought

Name	Amount	Confirmed	Unknown

If more than 1 entry is needed, click the + button to the right of the fields.

Describe the purpose of the project and how it relates to the overall mission of the organization.*
Cite evidence of the need for the project and tell us how the project will benefit the local community. Describe any consultations with government or other agencies that relate to this project.*
How you will measure the success of the project?*

Describe the capability of your organization to conduct the project and note special staff qualifications.*
If the project is successful, what financial resources will be available for its continuation?*
How will the Altona Community Foundation be recognized for their contributions to this project?*

It is the expectation of the foundation that each grant recipient propose how to publicly acknowledge the foundation for the support received for the project.
Has this request been authorized by your organization’s board?*
- Yes
- No
When?*

This application must be accompanied by the name and title of the President or another officer of the organization’s governing board.
Name*
First Last
Title*
Name of individual from whom further information may be obtained:
Name*
First Last
Title*
Telephone No.*
Please note that all successful grant applicants will have their picture posted on the Altona Community Foundation website: www.altonacommunityfoundation.com
Email
This field is for validation purposes and should be left unchanged.

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