HomeMy WebLinkAbout15-8 Rural Resident Connections Grant Accountability Form
Rural Resident Connections Grant
Accountability 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:
Applicant Name:
Mailing Address:
City: Province: Alberta Postal Code:
Telephone: Email:
EVENT REPORTING
Provide information/stories about the event to show how it was successful. (this could include
survey results, or reviews from attendees)
How many attendees?
How many volunteers/organizers?
PICTURES
We would love to receive pictures of the event/activity to include in our newsletter.
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 event name
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: