Grant Recipient Report - Parksville Qualicum Community Foundation

Thank you for submitting your Grant Recipient Report.

Recipient Name*
First Last
Email*
Phone
Organization (if applicable)
Name of Grant Received*
Date of Grant:
MM slash DD slash YYYY
Please describe how you used the grant:
What impact did your project have in our community?
How did the grant make it possible to have this impact?
Please upload a FEATURE photo about your grant.
Accepted file types: jpg, png, tif, gif, pdf, Max. file size: 2 MB.
Don't have a feature image? Another option is your a small image of your organization or company logo.
Please upload some additional photos of the project in action.
Drop files here or

Accepted file types: jpg, png, tif, gif, pdf, Max. file size: 2 MB, Max. files: 5.
I consent to the use of photos and provided information for promotion of Parksville Qualicum Community Foundation and/or it’s agents:*
- Yes I consent
- No I do not consent
Name
This field is for validation purposes and should be left unchanged.

Sign up For Our newsletter