HomeMy WebLinkAbout15.3c community accountability form 2024
Community Grants to Non-Profit Organizations
Accountability Form
POLICY #15-3
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.
ORGANIZATION INFORMATION
Date:
Organization Legal 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- Kneehill County’s contribution share must be a minimum 50 per cent
of the total project cost. $
Total of Project Cost $
* Rates are: $20/hr for unskilled labour, $35/hr for skilled labour and $70/hr for equipment including operator
APPLICANT AGREEMENT
I DECLARE THAT: (application must be signed by two members of the Society’s Executive Committee.)
• I am a duly authorized representative having legal and/or financial signing authority for the
above organization.
• The information contained in this application and supporting documents is true and accurate
and endorsed by the above organization.
Signature: Signature:
Name Printed: Name Printed:
Date: Date: