Community Enhancement Fund Program Note to Applicants Personal information you provide on this form is collected pursuant to Section 26 of the Freedom of Information and Protection of Privacy Act and will only be used for the purpose of processing the Community Enhancement Fund application. Your personal information will not be released except in accordance with the Freedom of Information and Protection of Privacy Act. Questions about the collection of your personal information may be referred to Corporate & Legislative Services (corporate@pemberton.ca or 604-894-6135). Organization Name * Contact Name * Title * Mailing Address * Phone * Email * What is the Status of your Organization? * Registered Charity Society Special Interest Other Annual Report filed with the Provincial Government? * Yes No If yes, date of the last report filed? How many members are in your organization? * Please list the Board Members names and e-mail contacts. * Describe the role of volunteers in your organization: * Details of Funding Request Name of Event/Project: * Amount of Grant Requested: * Total Event Budget: * Total Fundraising (funds from other sources): * What is the purpose for which the grant is being requested? * Please provide a brief description of the event/project. * Physical Address of the Project (if different from Organization) Grant Request Details * Check all that apply: Arts & Culture Environment/Sustainability Hertitage Recreation Youth/Senior How does/will your Organization or project promote or benefit the Village of Pemberton? * How many Pemberton residents will benefit or participate in the project? * Please list any grants for which your Organization has applied or received: Has your organization applied for funding through this program in the past? * Yes No If yes, please state the year you applied, the event or project, and the amount of funding received. What is the anticipated start date of the event or initiative? * Please attach any further information that you consider relevant in support of your application. Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Application Checklist Letters of Evidence of Support * Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Detailed Project Outline and Timeline * Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Detailed Project Budget showing Expenses, Revenues, Donations, and Volunteer Contributions * Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Most Recent Annual Financial Statement and/or Up-to-Date Financial Information * Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Society Documentation (in applicable) Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Amount of Grant Requested * Will you be requesting Village of Pemberton Operations Support for an event? * If yes, you must contact the Village Office at 604.894.6135 four (4) weeks prior to your event to discuss your request. The Village reserves the right to decline support as regular Village operations must take priority. Yes No Leave Blank