Application for
Local Project Fund
Local Name: Date of Application:
Explain the proposed project to build your Local:
What is your Local trying to achieve?
Proposed Start Date: Anticipated End Date:
Who will be involved in the organization? Positions held, if any, in the Local:
How many Members will be involved?
Are you requesting that sta and/or provincial executive members are to be involved?
Please indicate who and how they will be of assistance.
Who else will be involved?
If approved, HEU will assist the project on a cost share basis. How much are you requesting?
ESTIMATED COST OF PROJECT: (Budget)
Lost Wages:
Equipment
Supplies
Community Outreach/Advertising
Other Assistance requested (please be specific)
Resources requested from the Provincial Oce
Total $ Cost Share Amount Requested $ % split
Local Chairperson signature Local Secretary-Treasurer signature
FOR HEU HEAD OFFICE USE ONLY
Accepted or Declined: Date:
Comments: