HomeMy WebLinkAbout15.4 Rural Community hall Capital Grant Accountability fillable form
Rural Community Hall Capital Grant
Accountability Form
POLICY #15-4
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.
RURAL COMMUNITY HALL INFORMATION
Date:
Rural Hall Name:
Contact Person:
Mailing Address:
City: Province: Alberta Postal Code:
Telephone: Email:
ACCOUNTABILITY OF FUNDS
Please complete and attach all copies of receipts for all project expenses and proof for budgeted in-
kind contributions and volunteer labour. *
Total Amount
Kneehill County Contribution $
Total of Project Cost $
* Rates are: $20/hr for unskilled labour, $35/hr for skilled labour and $70/hr for equipment including operator
PICTURES
Photos can be sent using one of the following methods:
Mail Pictures E-Mail Text
Pictures can be mailed with
Accountability Form to:
Kneehill County
Grant Program
Box 400
Three Hills, AB
T0M 2A0
Pictures can be attached with
your Accountability Form when
you email it to:
execassist@kneehillcounty.com
Pictures can be sent separately
by SMS to the following phone
number:
587-321-0757
(please include the name of
your Rural Hall when texting)
APPLICANT AGREEMENT
I DECLARE THAT:
• The information contained in this application and supporting documents is true and accurate
and endorsed by the above organization.
• I understand that the pictures provided may be used in Kneehill County’s communications.
Signature: Date: