Candle Lake - Sask Lotteries Application Form

Sask Lotteries Application Form

<form-template>
	<fields>
		<field type="header" subtype="h3" label="Saskatchewan Lotteries Community Grant Program Application Form - Candle Lake" class="header"></field>
		<field type="text" subtype="text" required="true" label="Organization" class="form-control text-input" name="text-1653921829191"></field>
		<field type="text" subtype="email" required="true" label="Contact Person" class="form-control text-input" name="text-1653921900812"></field>
		<field type="text" subtype="text" required="true" label="Address" class="form-control text-input" name="text-1653921878142"></field>
		<field type="text" subtype="text" required="true" label="Position" class="form-control text-input" name="text-1690825642411"></field>
		<field type="text" subtype="text" required="true" label="Phone" class="form-control text-input" name="text-1690825644787"></field>
		<field type="text" subtype="text" required="true" label="Email" class="form-control text-input" name="text-1690825680906"></field>
		<field type="text" subtype="text" required="true" label="Program Name" class="form-control text-input" name="text-1690825693067"></field>
		<field type="text" subtype="text" required="true" label="Date(s) of Program" class="form-control text-input" name="text-1690825707050"></field>
		<field type="text" subtype="text" required="true" label="Location of Program" class="form-control text-input" name="text-1690825722954"></field>
		<field type="textarea" required="true" label="1. Program description including detailed information on activities, cost for activities, what equipment will be purchased if any and which expenses grant funds will be used for" class="form-control text-area" name="textarea-1690825837233"></field>
		<field type="radio-group" required="true" label="2. Will this program be aimed at increasing participation in any under-represented populations within Candle Lake?" class="radio-group" name="radio-group-1690826207408">
			<option value="option-1" selected="true">Yes - continue to the next question</option>
			<option value="option-2">No - proceed to question #4</option>
		</field>
		<field type="select" label="3. Identify Target Group(s)" class="form-control select" name="select-1690838722905" multiple="true">
			<option value="option-1" selected="true">Youth</option>
			<option value="option-2">Seniors</option>
			<option>Economically disadvantaged</option>
			<option>persons with a disability</option>
			<option>single parent families</option>
			<option>Indigenous People</option>
			<option>Women</option>
			<option>New Canadians</option>
		</field>
		<field type="checkbox-group" required="true" label="4. Focus of the program " class="checkbox-group" name="checkbox-group-1690826047680">
			<option selected="true">Sport</option>
			<option>Culture</option>
			<option>Recreation</option>
		</field>
		<field type="checkbox-group" required="true" label="5. Will this program be available to ALL residents within the Resort Village?" class="checkbox-group" name="checkbox-group-1690826108208">
			<option selected="true">Yes</option>
			<option>No</option>
		</field>
		<field type="text" subtype="text" label="If no, please explain:" class="form-control text-input" name="text-1690826157320"></field>
		<field type="checkbox-group" required="true" label="6. Is there a direct participation or registration fee" class="checkbox-group" name="checkbox-group-1690826186096">
			<option selected="true">Yes</option>
			<option>No</option>
		</field>
		<field type="text" subtype="text" label="If yes, what do these fees cover?" class="form-control text-input" name="text-1690831210692"></field>
		<field type="textarea" required="true" label="8. Describe the impact and benefit of the program to residents within Candle Lake" class="form-control text-area" name="textarea-1690839350276"></field>
		<field type="textarea" required="true" label="9. How is your organization contributing to the program?" class="form-control text-area" name="textarea-1690839388579"></field>
		<field type="textarea" required="true" label="10. Why is the Saskatchewan Lotteries Community Grant Funding needed?" class="form-control text-area" name="textarea-1690839412971"></field>
		<field type="textarea" required="true" label="11. What will the impact be if the program does not receive this grant?" class="form-control text-area" name="textarea-1690839448979"></field>
		<field type="text" subtype="text" required="true" label="12. Total Revenue from project" class="form-control text-input" name="text-1690839586731"></field>
		<field type="textarea" required="true" label="13. List of Expenses (please include equipment purchases, rentals, facility costs, advertising, program supplies, instructor fees, administration supplies, etc.)" class="form-control text-area" name="textarea-1690839659634"></field>
		<field type="text" subtype="text" required="true" label="14. Total Community grant assistance requested" class="form-control text-input" name="text-1690839721748"></field>
	</fields>
</form-template>

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