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Community Engagement Fund Application
Community Engagement Fund Application Form
Before completing the Community Engagement Fund application form, please review the policy first.
#POL-CL-01-2025 Community Engagement Fund Policy
Type of request:
(Required)
Request for monetary or in-kind contributions.
Request for hall rental at a discounted rate.
Request for monetary or in-kind contributions and for hall rental at a discounted rate.
Organization Information
Organization Name:
(Required)
Mailing Address (Please provide the mailing address to which we should send the check.):
(Required)
Address
Town
Province
Postal Code
Contact Person's Name:
(Required)
First Name
Last Name
Email Address:
(Required)
Phone Number:
(Required)
Alternate Contact Person's Name:
(Required)
Prénom
Nom de famille
Email Address:
(Required)
Phone Number:
(Required)
Do you confirm that the organization is not for profit?
(Required)
Yes
No
Requests for Monetary or In-Kind Municipal Contributions
Request is for:
(Required)
All activities for the year
One activity or event
Other
Request is for:
(Required)
Monetary municipal contributions
In-kind municipal contributions
Check all that apply.
Amount of monetary contribution requested:
(Required)
How the money will be used:
(Required)
Description of the requested municipal in-kind contribution:
(Required)
Description of the activity(ies):
(Required)
Start date of activity or first activity:
(Required)
MM slash DD slash YYYY
Location(s) where the activity(ies) will take place:
(Required)
Do you charge an admission fee? If so, what is the fee? (Please specify the costs for each activity, if applicable.)
(Required)
Describe how The Nation will be recognized during your activity(ies):
(Required)
Describe other sources of funding or fundraising initiative for your activity(ies):
(Required)
Requests for Hall Rental at a Discounted Rate
It is important for applicants to note that completion of this form does not confirm reservation or price reduction. The Recreation Department will contact applicants to finalize details and confirm room availability and eligibility for a discounted rate.
If you already completed your booking with the Recreation Department, please indicate the invoice number:
Rental Location(s):
GFL Room
Desired rental date(s):
(Required)
Limoges Community Centre
Desired rental date(s):
(Required)
The Limoges Annexe
Desired rental date(s):
(Required)
St-Albert Community Centre
Desired rental date(s):
(Required)
Caledonia Community Centre
Desired rental date(s):
(Required)
Fournier Community Centre
Desired rental date(s):
(Required)
St-Isidore Community Centre
Desired rental date(s):
(Required)
Name and description of the event(s):
(Required)
Statement of Acknowledgement
(Required)
By submitting this form, applicants confirm that they have read and understood the terms and conditions of Policy #POL-CL-01-2025 on Community Engagement Funds and attest that all information provided in this form is accurate. Applicants also acknowledge that application forms may be published on the municipal website alongside Council meeting agendas. Documents and information provided will be managed in accordance with the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M.56.
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