Speech and Hearing BC Area Fund Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Policy V.3.B

Application Deadlines for Area Funds:

1) May 31 is the application deadline for area funds released at the beginning of the upcoming fiscal year (June 1 – May 31).

2) Any unused funds after May 31 are pooled and available to any area for application by September 30 (for remaining months in fiscal year which ends May 31)

3) Applications received after September 30 will be considered based on suitability and funding availability province-wide.

Email *

Project or Event Information

Date of application *

YYYY

Name of organizer *

Name of event/project *

Date of event (or first day of event)

YYYY

Please describe your event/project in greater detail

What type of event? In person, virtual or both. If in person, please list the location. *

If this is a virtual or hybrid event, will it be recorded for distribution post-event?

Only to those who attended

Only to area members

All SHBC members

Not recorded

If applicable, the event recording will be available on

YYYY

Target Audience *

Area specific members

Open to all members

Open to non-SHBC members also

Other:

Required

Area requesting funds *

GVRD

Vancouver Island and Gulf Islands

Fraser Valley

Kootenays

Thompson/Okanagan

North

Required

How many participants expected in total? *

Of that total, how many non-SHBC members do you expect? *

If you are expecting non-SHBC members, how are they differentiated from members? *

Members receive a discounted fee

Members are given priority registration

No non-members attending event

Other:

Required

Financial Information

(You must retain all receipts for submission to SHBC. All costs must be requested in Cdn Dollars using the available Bank of Canada exchange rate)

What is your anticipated total cost $Cdn (excluding food costs)? Include

1.Speaker fees - must be quoted in $Cdn

2. Travel - must be quoted in $Cdn

3. Accommodations

4. Venue and platform costs

What are your food costs? (You may apply for up to an additional $500 to help cover food costs as per policy V.3.A.) *

What are your anticipated revenues? Include all anticipated revenues from event registration fees, employer contributions, other. *

Are you charging a registration fee? Yes or no. If yes, what is the fee for members vs non-members? *

Do you anticipate a profit? *

Yes

Maybe

Amount of funds requested for event? (max $3000) *

Amount of funds requested to cover the cost of food? (max $500).

I understand that I am required to save all the receipts and submit final costs after the event is completed *

Yes

I understand that if there is a surplus in revenues from the event, the organizer must repay the funding provided by Speech and Hearing BC

Yes

What profession is the event organizer? *

SLP

Aud

Other:

Contact information including employer, phone number and email *

Names of 4 other SLPs or 2 other Auds that support this event *

Acknowledgement

I understand that if my application is approved, any changes that I make post-approval will need to be authorized by my Area Rep. Funds are designated for their original purpose as set out in the submitted application. Any material changes (e.g. date change, venue change, speaker change, change in fee, etc.) may mean the area funds are forfeited unless prior permission is obtained by the Area Rep and/or SHBC.

I agree to the condition listed above.

Required

Any other information the event organizer would like to provide?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms