PACE Application

Name(Required)

First Last

Email(Required)

Phone

Mailing Address(Required)

Street Address Address Line 2 City Province Postal Code

Post-Secondary Partner(Required)

Official name of CALP(Required)

What is the name of your organization?(Required)

Please write the full name.

Are you working with charitable partner?

Yes

Charitable registration number

What is the name of your charitable partner organization (if your organization isn't a registered charity)?

Charitable partner organization contact name

First Last

Charitable partner organization contact email

Charitable partner organization mailing address

Street Address Address Line 2 City Province Postal Code

Partner's charitable registration number

Provide a breakdown of how funds will be spent (max $750). Enter 0 if the field is not applicable.

Snacks and meals(Required)

Books and other supplies(Required)

(including computer adaptive devices for seniors and people with disabilities)

Childminding(Required)

Transportation(Required)

(bus passes, field trips, and mileage reimbursement)

Admin fee (up to 10%)(Required)

Other

If you included other please specify:

Total

Must not exceed $750.00

Describe the support your learners need to improve their access to learning. (max 150 words)(Required)

How will you select the recipients of the funds? (max 150 words)(Required)

How will you administer the funds? (max 150 words)(Required)

Phone

This field is for validation purposes and should be left unchanged.

Working together for literacy