HomeMy Public PortalAboutYouth Sponsorship Application Form
MUNICIPALITY OF THE DISTRICT OF CHESTER
GRANT APPLICATION FORM
Youth Sponsorship Request
Name of Applicant ______________________________________________________________________
Name of Parent / Guardian_______________________________________________________________
Mailing Address________________________________________________________________________
______________________________________________________ Postal Code___________________
Phone ________________________________________________
Email _________________________________________________
Are you presently attending school? Yes ____ No ____
If yes, Name of School ___________________________________________________________
Grade / Year ______________________________________________________________
What sport / activity are you competing in? ___________________________________________
What is the name of the event in which you are attending? ______________________________________
Did you win to compete ______ OR were you selected to compete ______
Please provide the date and details of when this occurred:
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________________
At which level are you competing? Provincial ____ National ____ International ____
If your application is approved, we require the following details to process funding:
Make Cheque Payable to: __________________________________________________________
Mail Cheque to: __________________________________________________________________
____________________________________ Postal Code__________________
Please provide dates of the competition and a brief description of what you did to advance to this level:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
BUDGET
Revenue
Fundraising
Personal Contribution
Other
Other
Youth Sponsorship Funding (Requested)
Total $
Expenses
Registration Fees
Travel
Other
Other
Other
Total $
Please Note - Demand for the Youth Sponsorship Funding varies from year to year, as can the amount of
funding available. Applications will be reviewed on a quarterly basis (typically June, September, December
& March).
Applicant Signature _____________________________________________________
Parent / Guardian Signature ______________________________________________
Date _________________________________________________________________