Environment Fund

THE ALPINE CLUB OF CANADA

ENVIRONMENT FUND

APPLICATION FOR FUNDING

This is the only form which can be used when applying for the ACC Environment Fund. Once you begin filling out this form your data will be saved at this url for ONE WEEK. Bookmark this page and return to it anytime within ONE WEEK to complete the form.

If your application is not fully completed it will be returned for completion to ensure our volunteer committee can properly assess all applications.

Please note the Selection Committee strongly prefers receiving applications in electronic format.

Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

E-mail

If there are additional applicants associated with this application please email the above information to officemanager@alpineclubofcanada.ca and it will be included with your application.

Brief history of the Applicant(s), including an outline of objectives and qualifications that make you and your team suitable to undertake this project or activity. *

Form of organization of the applicant(s) (e.g. society, corporation, etc)

Confirmation of Not-for-Profit or charitable status (if applicable) Note: You may be required to provide financial statements

Title of the project *

Describe the Project, including when the project will begin and end, where it will take place, and who the project will serve. *

Summarize the type of support sought and, if financial support is sought, the total dollar amount requested. Please include information about requests for funding made from other organizations as well. *

Discuss how the project fits within the category or categories of projects that are eligible for funding. *

Describe how the project meets the minimum requirements required of all applications. *

Describe other organizations, clubs, agencies or institutions that are associated with this project. *

Are there any additional considerations or information related to the project that you would like us to know about?

A proposed budget for the project must be attached. The budget must show all other sources of funding, all expenses and any income generating activities related to the project. Your budget should include firm quotes wherever possible, and include the following categories that are specifically related to the project:

* Staff costs (i.e. not volunteer time) under each of the following headings:

- Management

- Professional

- Administrative

- Contract staff

* Volunteer time (i.e. number of people or total number of hours or days)

* Supplies and Services

- premises rental - equipment purchase or rental

- office supplies - photocopying

- printing - other reproduction type costs

- travel - accommodation

- any other expenses related to this project

Budget *

If you would like to include any supporting documentation for your application, please email it to officemanager@alpineclubofcanada.ca, quoting the title of your project in the subject.

BY CLICKING 'SUBMIT' I CONFIRM THAT, TO THE BEST OF MY KNOWLEDGE, ALL INFORMATION IN THIS APPLICATION IS ACCURATE. IF MY APPLICATION IS SUCCESSFUL, I AGREE TO ABIDE BY THE AWARD CONDITIONS STATED IN THE "AWARD RECIPIENT RESPONSIBILITIES" SECTION ON PAGE 4 OF THE APPLICATION INFORMATION PACKAGE.

THE ALPINE CLUB OF CANADA

APPLICATION FOR FUNDING

THE APPLICANT

THE PROJECT

THE BUDGET