Mother and daughter looking at the horizon

Certification of community organizations

Required fields are marked with asterisks (*)

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Dieppe groups and regional groups - Appendix C

Identification

Name of group

Contact person

Mailing address

City

Province

Postal code

Telephone

Fax

Website

If incorporated, please provide a copy of the letters patent.

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Territory served

Do you have eligibility criteria (e.i: cost, age, place of residence)?

Corporate life

Current number of members or participants from Dieppe

Current number of members or participants from outside Dieppe

How many volunteers are involved in your group's operation?

Planned date of the annual general assembly

Planned location of the annual general assembly

Please attach the mission and objectives.

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Please attach the activity report from the past year.

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Please attach the financial report from the past year.

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Please attach the minutes from the last annual meeting.

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Please attach the complete schedule of activity.

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Personal information on this form is collected under the authority of the Right to Information and Protection of Privacy Act for the purpose of processing your application. Questions about this collection of personal information can be directed to the Clerk, 333 Acadie Avenue, Dieppe, New Brunswick, E1A 1G9. Tel: 506-877-7900.
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