Girl Guides Ontario - Girl Guides Ontario - Local Recognition Ceremony Funding Application
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Local Recognition Ceremony Funding Application
iMIS Number:
Please enter your iMIS Number
First Name:
Last Name:
Street Address:
Enter Unit number (if applicable), street number, street name, and RR number or box number (if applicable). e.g. 1006-360 Torrence St PO Box 371
City/Town:
Province/Territory:
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
PQ
SK
YT
?
Community Number:
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Primary Phone Number:
Please include area code first
Secondary Phone Number:
Please include area code first
E-mail Address:
Are you the Responsible Guider for this event?
No
Yes
If no, Responsible Guider's First and Last Name:
Responsible Guider's iMIS#:
Only enter if you are not the Responsible Guider.
Proposed Ceremony Date:
Name and Address of Venue:
As part of the GGC mandate for girl engagement, your team should include youth Members (e.g. Pathfinders, Rangers). What role(s) will they play?
Canada Cord
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Specify the estimated total number of recipients.
Chief Commissioner's Gold Award
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Specify the estimated number of recipients.
Other Awards
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Specify the estimated number of recipients of the Outstanding Youth Award, Bronze/Silver/Gold Merit Award, Medal of Merit, Ontario Award, Honorary Life Award, National Awards (Beaver, Gold Maple Leaf, Honorary Life Award, Fortitude, Valour Awards), or adult Members who have completed 50, 55 or 60+ years of Membership.
Are you planning to invite any special Guests?
No
Yes
If yes, list name and title:
Are you planning to have a guest speaker?
No
Yes
If yes, list name of Speaker:
List the Units that are attending, and specify if they are guests, participants or if they consist of both:
e.g. 7th Bracebridge Pathfinders Unit - particpants; 7th Bracebridge Sparks Unit - guests.
How much assistance are you requesting?
Ontario Council will subsidize up to $75 for the cost of the venue and $10 per eligible award recipient.
Please provide Unit Banking ID# where the funds should be transferred to:
Unit Name:
Enter the code:
retype the code you see in black letters (beside the box)
