Arts and Culture Grant Application Form Applicant Information Date of Application * First Name * Last Name * Phone Number * Email Address * Civic Address * Name of Project * Location of Project * Expected Start Date * Expected Completion Date * Total Budget * Please describe the nature of the project Please describe how the funds will be used Is this an existing project? Yes No How will the Town of Drumheller's contribution be recognized? Terms and Conditions * By submitting this application, you agree to the following: Any information that is false, misleading or fraudulent may make this application invalid (at the Town’s discretion) You agree to the terms and conditions by submitting online, and your submission represents equivalency to your signature I agree to the above terms and conditions Privacy Personal information on this form is collected under the authority of the Freedom of Information & Protection of Privacy Act (the Act) for administrative purposes of the Town of Drumheller. Personal information is protected from unauthorized use and disclosure in accordance with the Act and may only be used and disclosed as provided by the Act. Questions regarding the collection of personal information can be directed to the FOIP Coordinator, Town of Drumheller, 224 Centre Street, Drumheller Alberta, T0J 0Y4 403-823-1339 Leave Blank