Traditional Economy Fund Application Form

Applicant Information

Full Name (as appears on ID)(Required)

First Last

NTI Number(Required)

Date of Birth(Required)

Community(Required)

House # and Street Address

Street Address

P.O Box

Phone

Email Address(Required)

Applicant Eligibility(Required)

You are 16 years of age

Enrolled in the Nunavut Agreement

You have not applied for TEF funding in the current fiscal year

Currently Kivalliq resident for the past 12 months

In good standing with the Kivalliq Inuit Association programs

Occupation(Required)

Please click that apply

Traditional Economy (harvester/artist)

Stay at home parent

Employed full time

Employed part time

Receiving social assistance

Receiving disability assistance

Receiving E.I

Student

Other

Project Description

Brief description of what funding is to be used for(Required)

Funding Item

Cost of Item(Required)

Funding Item 2

Cost of Item

Funding Item 3

Cost of Item

Total of funding requested(Required)

Attach all quotes and or receipts from suppliers(Required)

Include all taxes and shipping to your community. The total must add up to the total on the quotes and/or receipts.

Drop files here or

Max. file size: 50 MB.

Return on Investment Statement(Required)

The Kivalliq Inuit Association would like to see how this funding support Inuit, please enter as much information as you can. If you are a Hunter (Harvester) or if you provide goods from Arts and Crafts (art pieces, sewing projects or similar) If you are a harvester, please enter an estimated annual value of your harvest of all wildlife throughout the year. If you are an arts and crafts manufacturer, please enter the estimated value of your sales throughout the year. (As an example, 15 caribou/year at $400 each = $6000.00 plus qamutik rent out $500 = $6500.00 or 5 Parkas a year at $350/parka = $1750 plus Mitt Sales = $450 equals $2200.00) Estimated annual value of harvest or arts/craft work:

Total cost of Items sold ($)(Required)

Return on Investment * Total cost of items sold ($) divided by Total of funding requested ($)(Required)

Total cost of items sold ($) divided by total of funding requested ($)

Household Information

Name

First Last

Relationship to applicant

Name 2

First Last

Relationship to applicant 2

Name 3

First Last

Relationship to applicant 3

Name 4

First Last

Relationship to applicant 4

Name 5

First Last

Relationship to applicant 5

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

Max. file size: 50 MB.