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Home My WebLink About15-8 Rural Resident Connections Grant application form Rural Resident Connections Grant Application Form POLICY #15-8 The personal information on this form is being collected for the purpose of determining eligibility of an applicant to receive a grant. This information is collected under the authority of Section 33 (c) of the Freedom of Information and Protection of Privacy Act and may become public information once it is submitted to Council during a Council meeting. Questions regarding the collection of this information can be directed to the FOIP Coordinator at 403-443-5541. PURPOSE The Community Connection Grant is an initiative to encourage Kneehill County Rural Residents to engage in local activities that promote social connections, inclusion, and well-being. This initiative offers grants to support a variety of neighbourhood and community-oriented gatherings, events, or activities. Successful applications will demonstrate how the grant supports residents to connect and engage with each other. ELIGIBILITY Who can apply? • Applicants must be a rural resident of Kneehill County. • The Activity/Event must be held in Kneehill County. SUBMISSION DATES Applications are open from January 1st to December 31st of each year. GENERAL GUIDELINES 1. Grant amounts will be determined by Kneehill County based on the events needs, impact and available funds. 2. Grant recipients must acknowledge Kneehill County’s support in event marketing and promotional materials. 3. A brief final report is required within 30 days of your event or activity, and the event may be focused in our newsletter. SEND YOUR COMPLETED APPLICATION TO: Kneehill County Grant Program PO Box 400 Three Hills, AB T0M 2A0 Or alternatively via email: execassist@kneehillcounty.com Please direct all application inquiries to: Carolyn Van der Kuil at 403-443-5541. Rural Resident Connections Grant Application Form POLICY #15-8 The personal information on this form is being collected for the purpose of determining eligibility of an applicant to receive a grant. This information is collected under the authority of Section 33 (c) of the Freedom of Information and Protection of Privacy Act and may become public information once it is submitted to Council during a Council meeting. Questions regarding the collection of this information can be directed to the FOIP Coordinator at 403-443-5541. APPLICANT INFORMATION Date: Name: Mailing Address: City: Province: Alberta Postal Code: (All correspondence and cheques will be mailed to this address) Telephone: Email: Cheques made payable to: ELIGIBILITY Are you a rural resident of Kneehill County? ☐ Yes ☐ No Will the event take place in Kneehill County? ☐ Yes ☐ No If you selected “No” to any of the questions above, you are not eligible for this grant, please contact the grant program coordinator as your event/activity might be eligible for a different grant. EVENT/ACTIVITY INFORMATION Event Name: Date of Event: Time of Event: Address of Event: How will you let people know about your event? In two sentences, describe how your event or activity will support residents to connect and engage with each other? Rural Resident Connections Grant Application Form POLICY #15-8 The personal information on this form is being collected for the purpose of determining eligibility of an applicant to receive a grant. This information is collected under the authority of Section 33 (c) of the Freedom of Information and Protection of Privacy Act and may become public information once it is submitted to Council during a Council meeting. Questions regarding the collection of this information can be directed to the FOIP Coordinator at 403-443-5541. BUDGET Requested Amount from Kneehill County $ Please provide a brief budget breakdown on a separate page that includes the following: Income: Please list all the income, including the requested amount from Kneehill County, that is directly related to the event/activity including but not limited to: • Other grants from other government agencies, community organizations and groups, sponsors, etc. • Donations • Fees/admissions from those attending • Fundraisers Expenses: Please list all expenses directly related to the event/activity including but not limited to: • Advertising • Food & Beverage Supplies • Prizes • Entertainment • Insurance • Venue Rental • Equipment Rental • Materials/Supplies • Honorariums • Permits/Licenses APPLICANT AGREEMENT I DECLARE THAT: By submitting your application, you agree to abide by the statements below. Successful applicants will be notified by email. • I agree to provide a brief final report which will be submitted to Kneehill County within 30 days of the event. • If my event/activity does not occur within the time specified in this application, I will contact the County to either return the grant dollar or discuss alternatives. • I agree that I will use the phrase “Funded in part by Kneehill County Rural Resident Grant” in promotional materials. • Kneehill County’s communications may incorporate project details and corresponding photos. Signature: Name Printed: Date: