Funding Application Form

Please enter appropriate information and press the submit button below. 

Please note, this form may not work correctly with your browser. If a blank e-mail screen appears after you press the "submit" button, please re-enter the information into the form below and print a copy from your browser and fax to: (306) 757-3226

This form is a summary and must be accompanied by a detailed project proposal and budget forwarded to the address below.

Saskatchewan Council for International Cooperation
2138 McIntyre Street
Regina, Saskatchewan
S4P 2R7
Phone: (306) 757-4669
Fax: (306) 757-3226
E-mail: scic@web.net

Agency

Information

Name of Agency:

Address:

City:

Province or Territory:

Postal Code:

Phone:

Fax:

E-mail:

Project Officer:

SCIC Representative:

Project

Information

Agency Reference:

CIDA Reference:

Location:

Descriptive Title:

Financial

Summary

Agencys' Fundraising Contribution:

Request to Provincial Government:

Request to CIDA:

Other Provincial Government:
Contributions (please specify)

Self-help Contributions:

Other Funds:

 
 

Total Cost of Project:

CIDA

Participation

Date this project was submitted to CIDA:

 

Amounts and dates of CIDA payments:
made or assured

Partner

Participation

Overseas Organization responsible for:
program implementation

 

Project

Summary

Enter Project Details:

FOR OFFICIAL

SCIC USE ONLY

SCIC Reference Number:

Country:

Descriptive Title:

Sector:

PRC Review:

Interim Report:

Final Report:

   

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