Columbia Power Community Sponsorship Program

For more information about this sponsorship program or application, email cpcsponsorship@columbiapower.pathwisedev.ca or call Kathleen Hart at 250.304.6047.

EXT - CPC - Community Sponsorship Funding

APPLICANT INFORMATION

Organization Information

Organization Legal Name *

BC Registry Incorporation/Registration or Business Number (if applicable)

Mailing Address *

City *

Province *

Postal Code *

Format: A1A 1A1 or a1a 1a1

Signing Authority Contact Information

Signing Authority Name *

First

Last Name *

Last

Phone Number *

Email Address *

Is Signing Authority same as the Project Contact?

Check if Signing Authority information is the same as the Project Contact information.

Primary Contact Information

Primary Contact Name *

First

Primary Last Name *

Last

Phone Number *

Email Address *

Primary Contact Name *

First

Primary Last Name *

Last

Phone Number *

Email Address *

Project Information

Project Title

Project Location

Project must be located in the West Kootenay region.

Estimated Start Date

Estimated End Date

Project Description

Benefits of the Project

Project Budget

Total Project Budget

Amount requested from Columbia Power

How will the funds be used?

Cash Revenue Sources

Source

Confirmed (Yes/No)

Amount

Add Remove

Total Cash Revenue

Declaration

1. I am authorized to submit this application on behalf of the organization that is applying.
2. The information I have provided in this application is true, accurate and complete in every way.
3. Columbia Power Corporation—and the people and organizations that represent it—has the right to approve or decline any application.
4. Columbia Power Corporation may reveal details about this application—including my name, the applying organization’s name and location, and the amount and type of funding—to the public, individuals or anyone else, as allowed by the Freedom of Information and Protection of Privacy Act (FOIPPA).
5. Personal information requested that may be in this application is collected under authority of section 26(c) of the Act and will be used for administrative and evaluative purposes related to the program. Any privacy questions may be directed to: FOIPPA Inquiries, Senior Manager, Information Services, Columbia Basin Trust, 1.800.505.8998, privacy@outrust.org.

I have read and agree to the declaration above.

I Agree

Date

Applicant Name

Applicant Title

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