Pemberton and District Initiative Fund Application Form

The Squamish-Lillooet Regional District (SLRD) Pemberton and District Initiative Fund (PDIF) is a fund established by the SLRD and the Village of Pemberton which is dedicated to the financial support of registered non-profit organizations whose activities will provide benefit to the residents of the Village of Pemberton and SLRD Electoral Area C. Support from the Regional District and Village is provided in the form of financial assistance only (i.e. cash contributions).

Financial support from local government is not provided to commercial (for-profit) businesses, retroactive funding for project expenses incurred prior to funding approval, debt retirement, reserves or mortgage pay downs, large scale capital and public infrastructure projects (with approved exceptions), ongoing fundamental operations of league or club-based sports programs, prize money, or to organizations already receiving annual recurring funding through other local government financial services.

Financial assistance provided through PDIF may be used for wages, honorariums, contract services, promotions and marketing purposes, special events, projects and/or activities, and strategic or business plan development. Funding may also be used for the purpose of acquiring furnishings, equipment and supplies. Further information on eligible and ineligible program expenses is provided in the PDIF policy (SLRD Board Policy No. 2.16 – Pemberton and District Initiative Fund Policy).

Please complete this application form and submit along with any additional information that may be of assistance to the SLRD no later than 4:00 pm on October 15 (Seed Funding and Long-Term Agreement Funding), or 45 days prior to your event (One-Time Funding, Fee Waiver Requests). Applications must not be handwritten and should not exceed 10 pages. Incomplete applications will not be accepted.

After reviewing applications for completeness, staff will contact applicants with the next step in the process which may include a presentation to the Pemberton Valley Utilities & Services Committee.

Please note: Applications selected to go to the PVUS Committee are not guaranteed funding approval. Applicants will be kept informed of the status of their application. If approved by PVUS and/or the SLRD Board to receive funding, recipients are required to sign an agreement, provide evidence of appropriate insurance and fulfill the reporting requirements as outlined in the policy prior to disbursement of funds.

Application packages may be submitted by e-mail, mail or fax. Alternatively, applications can be submitted online through this digital application form.

The Squamish-Lillooet Regional District is committed to respecting and protecting the privacy of our website visitors. For more information, visit the SLRD Privacy Policy and Collection of Personal Information.

Organization Information

Primary/Organization Mailing Address:
Annual Report / Bylaws filed with the Provincial Government?

Society Executive Contacts (Do Not Include Primary)

Contact #1

Contact #2

Contact #3

Contact #4

Section #5

Organization Status (check all that apply). Attach evidence of charitable status if applicable
One file only.
512 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Details of Funding Request

1. Please identify the funding stream and the type of funding being requested. Provide a brief description of the proposed timeline (e.g. one-time event, one-time project over 1 year, 3-year seed, 3+ year long-term, etc.)

Funding Stream for #1
Type of Funding for #1
$
$
$
$

(Please also attach a detailed budget including: Detailed cost estimates, Sources of confirmed revenue, Sources of revenue yet to be confirmed, Sources of confirmed donations for labour and/or materials, and the most recent set of financial statements, if applicable.)

Please complete the following sections in the spaces provided. Applicants may attach additional information within the file upload fields below if absolutely necessary.

13. Indicate the Start Date and End Date of the program, as applicable. Also indicate when the funding disbursement is required. (*Note, the SLRD will disburse funds in August based on its receipt of funding through property taxes unless there are extraordinary circumstances)

Detailed Project Budget Including:

  • • Detailed Cost Estimates
  • • Sources of Confirmed Revenue
  • • Sources of Unconfirmed Revenue
  • • Sources of Donations
  • • Any other Sources of Revenue
One file only.
512 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
One file only.
512 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
One file only.
512 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
One file only.
512 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
One file only.
512 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
One file only.
512 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Agree to attend PVUS Meeting to Present In-Person (as applicable)
Agree to Provide Project Update and Final Reporting Requirements
I understand that checking this box constitutes a legal signature
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