Breton Ag Society

SECTION A Contact Information

Address of Organization:

Organization Contact: (Please include Name, Position, Phone and Email)

Brief Description about your Organization:

How does your organization add value to the community?

SECTION B - Project Profile

Provide a brief description of the project or event:

Category: (Select all the apply)

Community
Youth
Senior
Other

If Other, please explain:

Funding:

Project Donation:

Total Cost of Project: (if applicaple):

Other Sources of Funding: (if applicable):

SECTION C

Sponsor Recognition: (Select all that apply):

Sponsor Logo
Website
Newspaper
Signage
Facebook
Event Printed Material

Volunteer Participation: Is your organization willing and able to volunteer with Breton Ag Society for projects and events?

Yes
No

I hereby acknowledge that:

The information contained in this application is true, accurate and complete.
I am a representative with designated signing authority/decision-making authority in our Organization/Team/Group

Name/Signature and Date:

Thank you for your Application for funding. Please submit for review. If the BAS Board approves the initial application, you will be contacted to meet with the board at one of our monthly meetings (2nd Thursday of the Month, except for July/August)