Project Name *
Have you previously received funding from PRHP? * YesNo
Applicant Organization (legal name) *
Non-profit society registration number (optional):
Address (mailing address including street, city, postal code) *
Telephone: *
Email *
Primary Contact (for this application): *
Position/Title: *
Email and/or phone number: *
Programs must be based in the Peace River Regional District to be applicable for funding. Please select the designated community or communities below: * Fort St. John & AreaHudson’s Hope & AreaChetwynd & AreaDawson Creek & AreaTumbler RidgeOther
PRHP has three pillars that all community investments must fall under, please select the pillar your program falls under below. *Hold Ctrl to select more than 1 pillar * Healthy FamiliesChildren & YouthEducation
Please provide a description of how these dollars will be used by your organization *
Please describe how the funds will strengthen what your organization can offer the community
How will PRHP be recognized for this donation?
What is the total amount of funding you are requesting (please note, PRHP offers funding to a maximum of $5,000 per organization)? *
Does this initiative require volunteers? * YesNo
If yes, please describe the volunteer activity:
3 + 5 = ? Please prove that you are human by solving the equation *