Member Grant and Sponsorship Form

First Name

Last Name

Email Address

Phone Number

What is your preferred contact method?

SMS/Text

Phone

What are you applying for?

Extra Information

Budget Form

Expenses

Artists

Technicians and Production Personnel

Indigenous Elders and/or Knowledge Keepers (compensation and honoraria)

Indigenous Protocol and Indigenous Hospitality Expenses

General Hospitality Expenses

Materials and Supplies (specify)

Technical Expenses

Accessibility supports for Audiences (ex. Sign Language Interpretation; Captioning/CART; Live/Audio Description)

Production/Exhibition/Program/Rehearsal Space and Off-site Venue Rentals

Travel and Transportation (specify)

Shipping, Freight, Production Transport (specify)

Equipment Rental (related to project)

Accessibility supports for Participants (for applicants not eligible for Access Support funding)

Other Artistic, Exhibition, Presentation and Production expenses (specify)

Administrative Staff

Marketing and Development Staff

Office Rent or Mortgage

Office Supplies (specify)

Accounting/Legal Fees

Advertising Costs

Insurance

In Kind Expenses

Other

TOTAL EXPENSES

Revenues

NDAC

Government of BC

Canada Council (specify)

Government of Canada: Dept. of Canadian Heritage (specify)

Other Federal (specify)

Local Government (incl. Municipal and Regional Governments, Trusts, Band Councils) (specify)

Other Public Sector (specify)

Workshop fees, tuition, etc. (specify)

In Kind Revenue

Applicant cash contribution

Admissions

Other Earned and Contributed Revenues (specify)

Individual donations

Foundations (specify)

Other Private Sector (specify)

TOTAL REVENUES

Surplus (deficit) - Budget must balance

Notes

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Membership Grant and Sponsorship Form

Budget Form

Expenses

Revenues