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Capital Grant Application

Saddle Hills County

Application deadline for Capital Grant Applications is October 15 for the following budget year.

Please note that all questions require any answer. Should you have any problems completing the form, or require further assistance, please call Corporate Services at (780) 864.3760 or email finance@saddlehills.ab.ca

Date (yyyy-mm-dd):

Organization Name

Mailing Address

Postal Code

Contact Name

Title

Telephone

Registered Society or Charity Number (if applicable)

Has your organization previously received capital financial assistance from Saddle Hills County?

Yes

Is your organization currently receiving financial assistance from other municipalities, levels of government, public entities, or any other sources?

Yes

Please provide as much information as possible on other sources of funding

Briefly outline your Organization’s Purpose and Mission

Provide a brief description of the programs and services provided by your group

Provide a description of the project for which you are requesting funding. Include a business plan justifying the need for the project

In the space below, upload your project budget, your financial statement for the most recent fiscal year (If this is not available at this time, it must be submitted as soon as possible, and prior to receiving any funding), and a minimum of 2 written quotes or estimates, including non-refundable and refundable GST estimates.

Attach your supporting documents

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please describe the facility for which the grant is being requested, and how it will be used. Describe how the project will benefit your community and the County. What differentiates this project from other services currently provided in the County?

What are the goals and objectives of the facility? How will County Residents Benefit? How ill the success of the project be measured?

Describe the membership of your organization. How many members and participants are there, and how many County residents are involved?

Describe the level of volunteerism and fundraising efforts in your organization

Discuss your long term plans to maintain operational costs after the completion of the proposed capital project

Discuss your ability to complete the project successfully and within budget

Provide any other information that you feel may assist County Council in determining the eligibility of this project for capital grant funding

Discuss the implications of not receiving the grant funding, or of receiving less than the requested amount

Provide a plan to secure contributions from other sources to support this program or project

Please indicate the category of your grant funding application

Feasibility Study

Design/Engineering

Renovations/Repairs

New Construction

Please indicate the grant amount requested, listing GST separately, and showing the percentage of GST refundable

Obligations Upon Receiving Grant:

Grant recipients will receive a letter outlining the approved grant amount, including specific items approved or denied. Organizations may only spend grant funds on the specific items approved. Recipients must submit an acknowledgement of compliance within the time identified in the contribution agreement to account for funds spent and to indicate the success in achieving project/programs goals and objectives through measures identified in the approved application. Failure to submit an acknowledgement of compliance, or delinquency in submission, may affect future grant application consideration. At any time, grant recipients must permit a representative of Saddle Hills County to examine books or records to determine if the grant funding has been used as intended and approved.

Please sign in the box below

Clear

By checking this box, which functions as your legal signature, you confirm that the information provided is as complete and accurate as possible

I understand that checking this box constitutes a legal signature

Notice of Collection

Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of assessing eligibility for capital grants from Saddle Hills County. Direct any questions about this collection to: FOIP Coordinator, Saddle Hills County, RR 1, Spirit River, Alberta, Canada, T0H 3G0, 1-888-864-3760.

Please send me a pdf copy of this form

Yes

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Capital Grant Application

Saddle Hills County

Obligations Upon Receiving Grant: