Youth Excellence Application Form

ALL APPLICATIONS SUBMITTED WILL BECOME CONFIDENTIAL PROPERTY OF THE PHCDC. All documents and pictures submitted will become property of the Painted Hand CDC and will not be returned. All documents and pictures must be submitted together at one time.

Please provide details of your current sporting/arts status. What level are you competing or performing at.
Please outline the purpose for which funding is requested.

Budget

Please provide a detailed breakdown of anticipated expenditures and income associated with your project, program or activity, clearly outlining what component of the expenditures will be covered from any grant requested under the PHCDC Youth Excellence Program.

ANTICIPATED EXPENSES

$
$
$
$
$
$
$

INCOME

$
$
$
$
$

MANDATORY INFORMATION TO BE INCLUDED WITH YOUR APPLICATION
The following information is mandatory in order to process your application

  • Reference letters – Include one or more letters of reference (along with contact information from persons providing the letter of reference). Letters of reference must be from an educator, coach, elder, etc. and not from a relative or family member.
  • A short biography of yourself (1 to 3 paragraphs)
  • Picture – A photo of yourself (no CD or DVD please)

Declaration

On behalf of the Applicant, I hereby represent, warrant and certify the following:
(a) That the information contained in this application is true and correct;
(b) That we hereby authorize any duly appointed representatives of PHCDC to obtain from and share with such persons or organizations, public or private, any information necessary to complete their assessment of my application; and
(c) I hereby provide my authorization and consent for the PHCDC to utilize any information contained in this application, along with any photographs provided by me for use in conjunction with their operations including the preparation of their annual report, or any other related public disclosure.