Winnipeg Goldeyes Baseball Club | Community | Field of Dreams Foundation Funding Application

APPLICATION FORM

* Required Fields

Are you a registered charity? * Yes No Criteria

Enter your registered charity number here: *
Are you a charity within Manitoba? * Yes No
Are your requested funds for Manitoba recipients? * Yes No
Are your requested funds for recipients under the age of 18? * Yes No

CONTACT INFORMATION

Official Name of Charity: *
Address:	Street: *
	City/Town: *
	Province: *
	Postal Code: *
Contact Person: *
Title: *
Phone: *
Fax:
Email: *

CHARITY INFORMATION

Charity Description (Tell us about your group; in 100 words or less): *
Charity Goals (Tell us what you do; in 100 words or less): *
Who Benefits From Your Charity? (in 100 words or less) : *

FUNDING REQUEST

Please use this section to outline your request - including a description of what the funds will be used for and the dollar amount of your request. Charites may submit up to three options for funding but please rank your options in order of importance to your charity.

Option #1- Description: * (in 100 words or less)
Amount Requested: *	$
Option #2- Description: (in 100 words or less)
Amount Requested:	$
Option #3- Description: (in 100 words or less)
Amount Requested:	$

ADDITIONAL INFORMATION

Have you received funding from the Winnipeg Goldeyes Field of Dreams Foundation before? * Yes No If yes, please provide a brief description of your donation(s) including the amount(s) and year(s) of receipt.

Additional Comments:

If you have questions or are having difficulties submitting this form, please call the Goldeyes office at (204) 982-2273. If you are inquiring about the Foundations by-laws, please click here.