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Baker Lake Education and Recreation Application
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Baker Lake Education and Recreation Fund
Baker Lake Education and Recreation Application
Baker Lake Education and Recreation Application
Applicant Information
Full Name (as appears on ID)
(Required)
First
Last
NTI Number
(Required)
Date
(Required)
Month
Day
Year
Community
(Required)
Baker Lake
House # and Street Address
P.O Box
Phone
Email
(Required)
Applicant Eligibility
Enrolled in the Nunavut Agreement
You have been living in Baker Lake for 6 months or more
In good standing with the Kivalliq Inuit Association programs
Project Description
Program/Project Details
(Required)
Please describe the education program, event, or workshop and its benefits to the applicants.
File Upload
Please attach a letter of support from: Individuals, Group, Organization, Association, or Society (PDF Copies Preferred) before submitting the application. These documents will contribute to the success of your application process.
Drop files here or
Select files
Max. file size: 50 MB.
Select
State the total costs of tools, equipment and supplies below. Written quotes confirming prices from suppliers must be attached bellow. Total Costs must include 5% GST Tax and freight charges to your community.
Total of Funding Requested
(Required)
Equity
Please note the individual or group applying for the grant must contribute 10% of the total purchase cost.
Attach all quotes and or receipts from suppliers
Attach copies of quotes from suppliers confirming prices for all material, tools, and equipment (PDF Copies Preferred)
Drop files here or
Select files
Max. file size: 50 MB.
Any other assistance
Please list any other assistance secured
Declaration and Submission
Electronic Funds Transfer (EFT)
Please attach a void cheque/ account information for EFT payment, otherwise a cheque will be issued to your mailing address.
Drop files here or
Select files
Max. file size: 50 MB.
Declaration and Submission
(Required)
I hereby certify
I hereby certify that the information contained in this application is true and correct to the best of my knowledge and ability, and that I do not have any outstanding debts to the Kivalliq Inuit Association.
By clicking on the submit button below, I declare that I am applying for funding assistance under the Baker Lake Education and Recreation Fund administered by the Kivalliq Inuit Association. I swear that to the best of my knowledge, all of the statements or information in this application are true. I understand that any false or misleading information will result in my application being denied and may disqualify my organization or myself from receiving future funding assistance from the Kivalliq Inuit Association (KivIA).
I promise that any assistance received under this program will be used for Education or Recreation.
I give permission to KIA to collect and use my personal information related to this application to make inquiries needed to evaluate this application. Upon receiving assistance, I will agree to supply any relevant receipts, records or other relevant information requested by the KIA.
My receipt of assistance will not make me an employee, contractor or agent of KivIA.
I further believed this declaration to be true and know that it is the same as if made under oath.
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