Application for Environment Grant - The Alpine Club of Canada

Application for the Environment Grant

Date*

Date

Full Name of Applicant*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Form of organization of the applicant(s)*

(e.g. Individual, Society, Corporation etc.)

Brief description and history of the Applicant(s), including an outline of objectives and activities that make you and your team suitable to undertake this project or activity. Include website link (if applicable) *

Title of the project*

Goal of the project*

Full description of the project plan, including who the project will serve. *

Proposed dates for the project*

Total dollar amount sought from the environment fund grant. *

Detailed budget for the project. Ensure you show where ACC support will be directed (below or as an attachment). Include information about requests for funding made from other organizations*

Describe any other organizations, club, agencies, or institutions, that are associated with this project (if applicable). *

Any additional, relevant considerations or information related to the project.

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