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Kivalliq Community Cultural Initiatives Program (KCCIP) Form

Application for Kivalliq Community Cultural Initiatives Program (KCCIP)

Type of Application(Required)

MM slash DD slash YYYY
Are you an enrolled beneficiary under the Nunavut Land Claims Agreement?(Required)

Project Proposal

Please describe the following in detail: The intent of your project, why you feel this project is important in your community? How do you plan on carrying out your project? What will be necessary to succeed? What are your expected outcomes? What benefits will this project have on people?
Who will benefit?(Required)

Instructor:

MM slash DD slash YYYY

Instructor:

MM slash DD slash YYYY

Administrator

MM slash DD slash YYYY

Project Schedule/Location of Program

Please state your expected start and finish dates. Also provide a schedule for completing each steps in your project.
(Where your program will be held)
Start Date(Required)
End Date(Required)

Assistance from Other Sources

Please list any other assistance secured for your project
Name of Source
Contact Name
Dollar Value ($)
 
Please list any other assistance requested for your project
Name of Source
Contact Name
Dollar Value ($)
 

References

You must enclose at least two letters of support with your application from Non-family members.
Please list below the persons who provided these letters. These letters will contribute to the success of your application process.(Required)
Name
Organization
Telephone Number
 

Project Budget

You must provide a detailed budget breakdown of cost by category.(Required)
Ex.) Rental fees, instructor fees, supplies etc. Maximum $5000, Rental fees do NOT exceed 20% ($1000), Instructor fees do NOT exceed 40% ($2000) and administrative fees do NOT exceed 10% ($500) of the total budget.
Description
Dollar Value
 
Totals(Required)
Total Budget ($)
Total Requested from KIA ($)

Applicant’s Statement

Certification
Date
Date