4.
Notice of Collection
Agricultural Service Board Act and Freedom of Information and Protection of Privacy Act
The information collected on and with this form is for the purposes of administering the Agricultural Service Board Grant
Program as contemplated in Section 7 of the
Agricultural Service Board Act
.
The information is collected in accordance with
and is subject to the provisions of the
Freedom of Information and Protection of Privacy
(
FOIP) Act. If you have any questions
or concerns regarding the collection or use of this information, please contact the ASB Grant Program Manager, Maureen
Vadnais at #200, 7000-113 Street, Edmonton AB T6H 5T6. Phone: 310-0000 and dial 780.644.4432.
Email:
maureen.vadnais@gov.ab.ca
5.
Certification and Mandatory Signatures for Application
I certify that the information given on this Application is true and correct to the best of my knowledge.
I am authorized by the Applicant to submit this application on its behalf.
Signature
Date
Signature
Date
Print name and title of authorized signature
Print name and title of second authorized signature,
where applicable, or place seal here
6.
Grant Application Assistance
Contact your local ASB Grant Program Representatives for assistance
Office of Program Contact
Contact Phone Number
Contact email address
Legislative Funding Stream
Maureen Vadnais
Manager, ASB Program
Call toll free at: 310-0000 and
then dial 780-644-4432
maureen.vadnais@gov.ab.ca
Environmental Funding Stream
Dale Chrapko
Manager, Environmental Programs
Call toll free at: 310-0000 and
then dial 780-644-1969
dale.chrapko@gov.ab.ca
7.
Useful Resources
Use the following resources to find information on the ASB Grant Program
Resource
Website Address
All ASB forms and ASB Grant Program
Terms and Conditions
http://www.municipalaffairs.alberta.ca.
All forms are under the
Municipal Grants Web Portal, ASB Grant Program.
FINAL VERSION August 9, 2013
40