BC – Collins Fund Application Form Applicant/Contact Guider Name(Required) First Last Applicant/Contact Guider Email(Required) Enter Email Confirm Email Applicant/Contact Guider Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Area(Required)Fraser SkiesKootenayLionsLougheedMonasheeNorth StarPacific ShoresRivers NorthSouthern Vancouver IslandThompson NicolaWest CoastDistrict Name(Required) Unit Name(Required) Area Commissioner(s)(Required)NameEmailPhone Number Add RemoveTo add an Area Commissioner, please click the plus (+) button.Request DetailsOutline the purpose and benefits of this request.(Required)Provide a description of the benefit to our members and how this will promote greater inclusivity and accessibility.(Required)As applicable, provide the details of the qualifications of the service provider proposed and attach any information regarding the program/presentation.(Required)Attach any relevant files (if applicable). Drop files here or Select files Max. file size: 8 MB. Planned Start Date(Required) MM slash DD slash YYYY Planned End Date(Required) MM slash DD slash YYYY Budget - Sources of FundingPlease Note: For all requests, please include the Operating Budget for the Unit/District/Area, and provide three estimates (or letter explaining why you have not included three). Sources of Funding (100% of the funding may be requested from the Collins Fund).Cash on hand designated for project(Required)Anticipated Revenue from Donations/Community Grants(Required)Source of anticipated Revenue from Donations/Community Grants(Required) Anticipated Revenue from Assessments(Required)Source of Assessments(Required) Anticipated Revenue from Fundraising(Required)Source of Fundraising(Required) Total Funding(Required)Budget - Projected CostsLabour(Required)Materials, permits and other(s)(Required)7% PST(Required)50% of 5% GST(Required)Subtotal(Required)15% Contingency(Required)Total Cost(Required)Request AmountAmount requested from BC Council(Required)Date of Application(Required) MM slash DD slash YYYY Applicant Signature(Required)CAPTCHAIf a CAPTCHA error occurs, try opening the form in a Private Browsing or Incognito Tab. You can also try clearing your browser cache (cookies). We recommend completing our forms on a desktop computer, using Chrome or Firefox.