Community Grants Program Application Form

Mackenzie, British Columbia, Canada

Completed application forms should be submitted by the 30th May closing date each year.

Part One: Applicant Details

Business Address
Mailing Address
Does your organization or its members have an association with Iris Energy (e.g., employee)?  *

Part Two: Project Details

Selection Criteria *

Please tick one or more of the key funding priority criteria that will be met by the project:

Provide an overview of your proposal/project and how the Project Objectives meet one or more of the key funding priorities (what is it , what will be done, who will do the work, why is it necessary or worthwhile, how will the community benefit, how will one or more of the key funding priorities be met?)

The project is located within, or directly applies to The District of Mackenzie *
The project is located in relevant proximity to the District of Mackenzie *

(ie what will be produced or delivered to the community upon completion?)

(how will skills, capabilities and/or knowledge be improved?)

(how will you know if the project has achieved its objectives and what Key Performance Indicators have been established for the project?)

Please provide a timeline of key milestones for the project

Part Three: Funding Application

Funding Amount

Budget and allocation of funds

(outline any requirements for permits, materials, volunteers, contractors, seasonal constraints etc.)

Other Funding

Are there any other funding contributors to this project?

Part Four: Project Reporting

Part Five: Supporting Documentation

Please provide all documentation in PDF.

Agreement and signature

I acknowledge and accept the terms and conditions  *

Name of organisation

Full Name

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