Discover Multiple Events Application Form

1. Contact Information

A. School District or Sponsoring Organization

*School District Name and Number:

*Mailing Address:

*City:

*Province:

*Postal Code:

B. Contact Person

*First Name:

Middle Name:

*Last Name:

*Title:

*Telephone:

*E-mail:

B. Assistant Superintendent or District Career Coordinator/Principal Overseeing Budget

*Full Name:

*Date:

2. Please list all granted events you are applying for below.

1. Please list the numbers of attendees and grade levels the events focus on. Please track your statistics on females and/or indigenous participants for the completion report.

(Max. 5 Events)

Event No.	Event Name	Participating Grade(s)	No. of Students	No. of Teachers	No. of Parents	No. of Employer Partners
1
2
3
4
5

3. Budget

A. Break down the budget by each separate event. The maximum funding that can be applied for is $15,000 for a minimum of three events. Funding for each event can be applied for together or separately throughout the year.

Event No.	Total Funding Request/Event	Other Monetary Contributions Amounts
1	$	$
2	$	$
3	$	$
4	$	$
5	$	$

Total Funding Reqest/Event Amount	Total Other Amount
$	$

B. Provide the detail on your budget per event

Event No.	Transportation	Materials & Supplies	Media & Promotions	Honoraria & Salary Costs	Safety Materials	Legacy Items	Other	Total
1	$	$	$	$	$	$	$	$
2	$	$	$	$	$	$	$	$
3	$	$	$	$	$	$	$	$
4	$	$	$	$	$	$	$	$
5	$	$	$	$	$	$	$	$

*C. Indicate the pre-activity and post-activity learning activities that will be undertaken with your audience. (Examples: school news, handouts, invitations, follow-up survey, PAC support, activity sheets, media promotions, debriefing, or other activities).

(max. 300 words)

4. Media Release Form

Please check the box below to indicate your commitment to the use of Media Release Forms:

5. Collection Notice

*Submitted By:

*Submitted By Email: