APPLICATION FOR FUNDING FOR CHURCH ACCESSIBILITY PROJECTS
Please complete and return by April 30th 2008
to
Extension and Survey Committee
Finance and Extension Board
301 Lansdowne Avenue
Westmount, QC, H3Z 2L5
Church Name___________________________________________
Address__________________________________________
Contact Person ___________________________________
Tel _________________ Fax_________________ E-mail _________________
Describe the scope of the accessibility facilities planned
Feasibility Study prepared - Yes/No by whom ________________________________
At what cost _______________ Grant amount requested______________________
Estimated Total Cost of Project_______________
Source of Pastoral Charge Financing
Loan Amount Requested Project supervised by __________________
…2
Approval by Trustees Yes_____ No_____ Date__________
Approved by congregation Yes_____ No_____ Date__________
Other Comments
List of contractors bidding on invitation to tender. Please append common bid documents.
1. __________________________________________________
2. __________________________________________________
3.
__________________________________________________
Address____________________________
Signature
__________________________
Title
Date Telephone/Fax__________________
Committee use only
Approval of scope of project Yes_____ No_____ Date__________
Approval of feasibility study grant Yes_____ No_____ Date__________
Project Specifications included Yes_____ No_____ Date__________
Bids received Yes_____ No_____ Date__________
Loan approved Yes_____ No_____ Date__________ Amount________