2025 Beneficiary Application – Elexicon Energy – Annual Charity Golf Tournament

Instructions: Please complete the application to be considered as a recipient of the funds raised from the 2025 Elexicon Energy Charity Golf Tournament. For any questions, please email Melanie Walls. Your completed application must be submitted by February 15, 2025. All applicants will be contacted by March 31, 2025. Applicants that have not received funding in the last three years from Elexicon Energy’s Charity Golf Tournament will be considered.

Elexicon Energy Charity Golf Tournament - The Charity Recipients Application

"*" indicates required fields

Section 1: Organization Information

Organization Name:*

Address:*

Street Address Address Line 2 City Province Postal Code

Website:*

Primary Contact Person:

Name:*

First Last

Title:*

Phone:*

Email:*

Section 2: Mission and Vision

Mission Statement:*

Vision Statement:*

Brief History of the Organization:*

Section 3: Program/Project Details

Program/Project Title:*

Program/Project Description:*

Geographic Area Served:*

Who will benefit from program/initiative?*

Number of People Expected to Benefit:*

Section 4: Funding Request

Total Program/Project Budget:*

Amount requested from Elexicon Energy:*

How will the funds be used? (Please provide a budget breakdown):*

Section 5: Impact and Outcomes

What are the expected outcomes of the Program/Project?*

How will you measure success?*

Describe any long-term benefits of the Program/Project:*

Section 6: Sustainability

How will the Program/Project be sustained after the funding period ends?*

What are your plans for future funding?*

Section 7: Community Involvement and Partnerships

List any partner organizations involved in the Program/Project:*

Describe the role of each partner:*

How does your organization engage with the community?*

Section 8: Previous Funding and Achievements

Have you received funding from Elexicon Energy before?*

Yes

Please describe the previous project and its outcomes:*

List any awards or recognitions your organization has received:

Section 9: Additional Information

Is there any other information you would like to share?*

You are welcome to submit additional documentation to support this application.

You may add an additional document by selecting the choose file button below. Please upload the documents in a single PDF file (maximum file size permitted: 5MB) - To upload multiple documents, you will need to combine multiple documents into one PDF file.

Accepted file types: pdf, Max. file size: 5 MB.

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