Council Meeting Delegation Funding Request (Group - Funding)

Please note that any group or person(s) wishing to present to the County of Grande Prairie No. 1 Council must complete the form below. Once the form has been submitted to Legislative Services, you will be contacted with the date and time of your appointment with Council.

Please indicate what type of support you are requesting:

Silent Auction Item

Gift-in-Kind

Gift Basket

Other

*Note: For Funding Requests and Event Sponsorship, please visit Recreation and Culture Grants or contact Recreation and Culture prior to requesting a delegation with Council.

Applicant Information

Group/Organization Name (If Applicable)

Full Name and Title of Primary Contact:

Name and Title of Other Presenters (if applicable):

Address

City

Postal Code

Phone Number

Email

By checking the box below you acknowledge that you have been given the explicit consent to present on behalf of the Person(s) or Group noted above

Yes

Application Information

Please provide a short background on your group or organization (if applicable):

Reason for requesting an appointment with Council:

Have you appeared before Council to discuss the same topic in the past?

Yes

No

Has the County provided funding to your organization in the past?

Yes

No

If this is a regional event, have you approached the other impacted municipalities for support?

Yes

No

Has your group sought funding from any other organizations or municipalities?

Yes

No

Additional Event Information (Date, Time, Location, if applicable):

Please provide a brief outline of your expected outcome:

Approximately how many County residents will this affect or benefit?

Please indicate the amount of funding being requested. (Please attach a copy of the applicable Budget and Financial Statement in the upload area below):

Please attach applicable Budget and Financial Statements (Make sure to hit the green upload button before moving on):

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

Will you be providing any additional information (i.e. presentation) and/or any supporting documentation beyond your summary above?

Yes

No

Privacy statement:

This information shall become public information unless deemed by the CAO to be confidential and “Closed Session” as per the Procedural Bylaw.

Personal information collected on this form will be used for the purpose of receiving public participation in municipal decision-making and scheduling speakers for Council or Council Committee meetings. This collection is authorized by Section 4(c) of the Protection of Privacy Act and the information collected will also be subject to the Access to Information Act. Please be advised that all Council and Committee meeting presentations become part of the public record and you will be listed as a presenter on the Agenda and Minutes of the meeting. For questions about this collection of personal information by the County of Grande Prairie, contact the Access and Privacy Officer at AccessPrivacy@countygp.ab.ca or call 780-532-9722.