Events grant program

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Name of applicant

Address

Postal code

Telephone number (home)

Telephone number (work)

Email

Name of event

Dates of event

Scope of event

Provincial

Atlantic

National

International

Please provide a copy of the event schedule.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Does the event take place in Dieppe

Yes

No

How many participants are expected to attend?

Will the event have a lasting value and contribution to the activity's development in the community?

Yes

No

Is the event associated with a community organization accredited by the Culture, Leisure and Community Life Department, or approved by a provincial or national organization that is not represented in Dieppe?

Yes

No

What is your total estimated cost for hosting this event?

Please provide a copy of your operational budget, including all revenues and expenses, 60 days prior to the event.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Have you received grants from the City of Dieppe this year?

Yes

No

Give brief details of other sources of funds you will be receiving, if any.

Personal information on this form is collected under the authority of the Right to Information and Protection of Privacy Act for the purpose of processing your application. Questions about this collection of personal information can be directed to the Clerk, 333 Acadie Avenue, Dieppe, New Brunswick, E1A 1G9, 506.877.7900.

129CLV03.18