Truth and Reconciliation Commission (TRC) Event
Travel and Accommodation Subsidy Form
LEGAL NAME AND RESIDENTIAL ADDRESS
(as it should appear on cheque):
First Name:
____________________________________________________________________
Last Name:
____________________________________________________________________
Street
Address:________________________________________________________________
_
Town/City:______________________________________________________________
_______
Province:_______________________________________________________________
_______
Postal
Code:__________________________________________________________________
__
CHEQUE DELIVERY METHOD
I will pick up my cheque when registering at the TRC event
September 17-21 at the Pacific National Exhibition (PNE)
please mail me my cheque. I understand that cheques will be mailed by regular mail
and may not arrive by my departure time
MAILING ADDRESS
First Name:
____________________________________________________________________
Last Name:
____________________________________________________________________
Truth and Reconciliation Commission (TRC) Event
Travel and Accommodation Subsidy Form
Street
Address:________________________________________________________________
_
Town/City:______________________________________________________________
_______
Province:_______________________________________________________________
_______
Postal
Code:__________________________________________________________________
__
RESIDENTIAL SCHOOL SURVIVOR NAME AND STATUS NUMBER (please note if
you are the survivor please write your name and status number below; if you are a
relative of the individual who attended residential school, please write the individual’s
name who attended an Indian residential school and their status number and explain
their relation to you e.g. grandfather):
First
Name:__________________________________________________________________
__
Last Name:
____________________________________________________________________
Status Number:
_________________________________________________________________
I am a survivor of and attended an Indian Residential School
The above relative was a survivor of and attended the Indian Residential Schools
Relation (if applicable):
___________________________________________________________
NAME OF RESIDENTIAL SCHOOL ATTENDED, YEARS ATTENDED
Name of Residential School attended:
__________________________________________
Truth and Reconciliation Commission (TRC) Event
Travel and Accommodation Subsidy Form
Years Residential School was attended:
_________________________________________
PLEASE TELL US YOUR HOME COMMUNITY, BAND, AND/OR NATION
Home community/Band/Nation:___________________
______________________________
within BC
outside of BC
CONTACT INFORMATION (phone number and email):
Phone #:_________________________________________________________
Email address: __________________________________________________
PLEASE SELECT THE REGION OF BRITISH COLUMBIA WHERE YOU RESIDE
Northern region
Interior region
Vancouver Coastal region
Vancouver Island region
Fraser region
don’t know
outside BC
SUBSIDY AMOUNT CATEGORIES
Please check the category that you are applying for:
Amount
Typical Applicant Type
$250
Travelling approximately greater than 50km but less
than 500km
Travelling approximately more than 500km but less than
1000km
Travelling an approximate distance greater than
1000km
$500
$1000
ESTIMATED BUDGET: Please provide your estimated costs
Travel and Accommodation Estimated Expenses
COST
($)
Estimated Travel Expenses:
For any questions regarding subsidy
application and guidelines please
Truth and Reconciliation Commission (TRC) Event
Travel and Accommodation Subsidy Form
Bus
Ferry
Gas (# km=__________km) or by boat
Plane
Other:_________________
Estimated Accommodation Expenses:
Motel/Hotel
Friends/family
Other:_______________
Other: ______________
Estimated Total Expenses: