Assistance to Associations Application Form by Yearoveryear

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									                Assistance to Associations Application Form

Date of the submission of the proposal (month/day/year):
Fiscal year of the association:

Association Information

 Official name of association (in local language):
 Address:                                    Phone:
 E-mail:                                     Fax:
 Complete headquarters address if
                                             Phone:
 different than above:
 E-mail:                                     Fax:
 Number of members:                      Web site:
 Organization whose name will figure on the grant agreement:
 Person in authority to sign the grant agreement:
 President:
 President’s e-mail:
 President’s telephone:                      President’s fax:
 Association’s Mandate:



Description

1) Service to members: What is being done by the Association to keep its
membership informed of what is happening in Canadian Studies at local, regional
and international levels?

2) Multidisciplinary scope: Demonstrate the efforts made by the Association to attain
or maintain a multidisciplinary scope.

3) Outreach: Demonstrate the outreach efforts made by the Association towards the
recruitment of new members and reaching the general public.

4) Others:

Budget Information

Please provide a detailed and balanced budget that describes and justifies
anticipated expenditures and indicates other funding sources, particularly those from
the institution itself. Cost-sharing from other sources must be documented. In
filling this form, please keep in mind:

1) Funding provided by DFAIT for airfare will cover up to full fare economy using the
most direct routing;
2) Under “reception fees” alcohol will not be considered as an eligible expense;



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3) Treasury Board regulation forbids the accumulation of surplus funds. The figures
in the budget must correspond to the amounts that will actually be spent.
4) It is forbidden to edit/modify this form other than entering the requested
information.

                             Government of Canada            Other sources
 Revenues                       (Canadian $)                 (Canadian $)
 Grant Requested from
 DFAIT
                         $
 Other support from
 Canadian Gov.:
                         $

 Description of other
 support from
 Canadian Gov.:
 Revenues from
 conferences and                                    $
 activities:
 Sponsors:                                          $
 Membership
 revenues:
                                                    $
 Other revenues:                                    $

 Description of other
 revenues:


 Publications revenues                              $
                         Total revenues from
 Revenues Grand                                     Total revenues from other
                         Canadian Gov. (A)
 Total:                                             sources (B) $
                         $
 In Kind provided by
                         Description of (C):
 organisation or                                    (C) $
 partners



                                                    Expected Period of Expenditure,
 Expenses                      (In Canadian $)         breakdown of costs, and
                                                              description

 Operations
 Membership fees to
 ICCS
                         $
 Auditor                 $
 Bank Fees               $
 Reception fees                                     Indicate breakdown of costs
 (hospitality)
                         $

 Library (acquisition)   $
                                                    Indicate breakdown of costs
 Living Expenses         $
 Equipment
 Acquisition*
                         $
 Postage                 $



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 Maintenance                   $
 Maintenance of
 Website
                               $
 Office Space                  $
 Phone / Fax / Internet
 connection
                               $
 Photocopies                   $
                                                     Indicate breakdown of costs
 Publications                  $
 Promotional activities
 / advertisement
                               $
 Supplies                      $
 Utilities (electricity,
 heating, etc.)
                               $
 Travel – LOCAL                                      Indicate breakdown of costs
 transportation
                               $
 Others expenses
 (include short
 description in right
                               $
 column)
 Total Operations
                               (D) $
 Costs:


 Human Resources
 Costs*
 Full-Time Support
 Staff *
                               $
 Part-Time Support
 Staff *
                               $
 Other *                       $
 Total Human
                               (E) $
 Resources Costs*
 Expenses Grand
                               (F) $
 Total (D+E)

                                   (In Canadian $)
 TOTAL
 Revenues Grand            $
 Total (A+B+C)                                              These two amounts
 Expenses Grand            $                                should be equal
 Total (F)


* Note: Even if the Grants from the Government of Canada can’t be used to
pay these expenses, please indicate the amount.

Publication of the newsletter

Publication Title
Frequency
Anticipated date



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for publication
Support received
from other
sources
Memo



Publication of the learned journal

Publication Title
Author
Anticipated date
for publication
Frequency
Subject
Publisher
Support received
from other
sources
Memo



Web Site Maintenance

URL address
Webmaster
Description of
modifications and
cost justification

* Note: If you need more space, you may use a blank document (following
the above template) and attach it along with this application.




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