EILIDH BALKWILL FUND APPLICATION FORM
Please read the application instructions, as well as the fund guidelines, eligibility, funding decision criteria and deadlines on
the Student Affairs Funds and Awards page.
PROJECT DETAILS
Name of Club/Organization/Department/Individual: ________________________________
Event/Project: __________________________________________________________________________________________
Description, Purpose & Goals: ___________________________________________________________________________
_______________________________________________________________________________________________________
______________________________________________________________________________________________________
Amount requested: ________________________________
Date of Event: ________________________________
Name of Contact Person: ________________________________
Phone: __________________________
Email: ______________________________________
What group of students will benefit most if your project or event is funded? Please check one:
□ Undergraduates
□ Graduates
□ Both
How does your event match the criteria and requirements of the fund?_______________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
ENDORSEMENTS
IN YOUR EMAIL PLEASE ATTACH ANY ENDORSEMENTS, AS APPROPRIATE. THIS CAN BE A PARAGRAPH
SHOWING SUPPORT FOR YOUR PROJECT.
BUDGET
You must submit a proposed budget that clearly illustrates all expected expenses, income and the need for further funding.
Budgets must be as detailed as possible. Please complete the online budget form found on the Balkwill fund page on the
Student Affairs website.
It must make detailed reference to:
- Fundraising activities and earnings
- Other possible funding sources (internal and external)
- Confirmed sources of funding and the amount
DEADLINES
Applications can be submitted at any time.
Please email this form, the budget form, and any third party endorsement letters to vpdean.sa@queensu.ca.
The subject line of the email should be: "Balkwill: name of event."
PAYMENT
Should your application be successful, our office will contact you to request information on how you would like to receive
your payment. You will have the option of Cheque or a Journal Transfer if your group has a Queen’s or AMS account.
Please note that if the successful applicant is an individual, funds will be considered taxable income.
Incomplete applications will not be processed.
Questions regarding the application process and completed applications should be sent to the Office of the Vice-Provost
and Dean of Student Affairs via email at vpdean.sa@queensu.ca
By signing below you are indicating that to the best of your knowledge the information given in this application is accurate
and that any funds awarded to you or your Club/Organization will be used as described. You also commit to submitting a
complete and thorough report as indicated in section (7) of the Eligibility and Requirements section in a timely fashion.
Name of Person Submitting the Application (please print clearly): _____________________________________
The personal information on this form is collected under the authority of the Royal Charter of 1841, as amended. The information collected on this form will
be used for tracking purposes and will be used to contact you. Student numbers are collected to verify your current status as a student as required under the
terms of the fund. The collection of your social insurance number if required is for purposes of reporting income to Canada Revenue Agency. If you have
any questions or concerns about the information collected or how it will be used please contact Ginette Denford, Director, Finance and Staffing, Office of the
Vice-Provost and Dean of Student Affairs, 300 Gordon Hall, 613-533-6000 ext. 78664.