Application Form | Killarney Foundation

1. Organization Information

Legal Name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Type of Organization *

Registered Charity
Registered Non-Profit
Community Association
Community Group
Other

Other organization type:

Charity Registration Number:

Has your organization previously received funding from the Killarney Foundation Inc.? *

Please describe your organization's overall mission and objectives. *

2. Contact Information

Name *

First

Last

Phone *

Alternate Phone

Email *

3. Project Details

What is the value of funding requested? *

In which community is the project located? *

Is this project a third-party fundraising campaign? *

Provide a short summary outlining the main objectives of the project, particularly as it supports social and recreation needs, youth programs and initiatives, etc. *

Explain the need for the project and how it improves community members' lives. *

Identify any potential risks or liabilities with the project, including your organization's ability to complete the project. *

Can your organization report on the project (e.g. how funds were used and success stories) within three months of completion? *

*It is mandatory that invoices detailing fund usage be provided upon completion.

4. Budget

Please provide a high-level itemized budget for the project (may be as an attachment) *

Budget File Upload

Click or drag a file to this area to upload.

What % of your total budget has been raised to date? *

List all donations for the project and their values confirmed or received to date.

If your request for funding is not approved in it's entirety, what portion of your budgeted expenditures would be a top priority, and what is that amount? *

What portion of your project, if any, will be paid for by 'in kind' support, either by labour or product? *

Additional Comments