Contact Primary Phone #:
Contact Email Address:
Contact Mailing Address
Contact Fax Number
Participating Municipalities
In the case this application is for Legislative Funding Stream only:
Identify applications that name the Applicant as a Participating
Municipality.
3.
Program Application Process
Checklist of supporting
documentation that is to be
submitted with the Program
Application Form
ASB Grant Program for 2014-2016 Application Check List
Applicant is applying for (Please check one box):
□
Legislative Funding Stream Only
Is the Municipality a Participating Municipality in any other
Environmental Funding Stream grant application under the
Program?
□
No
□
Yes, ______________________(identify name of
Municipality applying
□
Legislative Funding Stream + Environmental Funding Stream
□
Basic
□
Enhanced, list all Participating Municipalities
___________________________________________
□
Application Completed and Signed
□
Schedule A is completed, as applicable and attached
Application Submission
Process
Method of Submission:
Applications must be submitted by mail
with original signatures.
Submission Address:
By mail to:
ASB Program Coordinator
Alberta Agriculture and Rural
Development
#200, 7000-113
Street
Edmonton, AB T6H 5T6
Reminder: The ASB Grant Program Application is due October 1, 2013.
FINAL VERSION August 9, 2013
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