Applicant Name *

Applicant Mailing Address including Postal Code *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Applicant Phone Number *

Applicant Email *

Contact Person if different from Applicant

Contact Person's Position *

Date of Incorporation

Charitable Donation No.

local or of

Amount of funds requested:

Total cost of project:

Project Title

Project Summary

Project Goals and Outcomes

Budget Description

When are the funds required?

Have you received a grant from us in the past?

Is a local council of the Knights of Columbus supporting you?

Is a local and/or National or Provincial government supporting you?

What other local support, if any, have you received for your project?

Number of members on your volunteer committee:

If my funding request is granted, I grant the Sask KofC Charitable Foundation rights to publish any or all of the aforementioned information regarding my request.

If your request is approved for funding, to promote the Saskatchewan Knights of Columbus Charitable Foundation, and the good work that it does, we ask two things:

The Foundation would like to post information regarding your project on our website,
newsletters, etc. We would appreciate receiving materials relating to this project, which may
include but not be limited to photographs, video, textual descriptions, etc.
We also ask you to indicate our inclusion of support in your communications when the project is
completed.

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