Interministerial Women's Secretariat Grant Current Page 1 Page 2 Page 3 Preview Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c.F-15-01 as it relates directly to and is necessary for the Interministerial Women's Secretariat Grant. If you have any questions about this collection of personal information, you may contact Michelle Harris-Genge at 902-368-5557. Information may be verified. Identification Enter information of person to be contacted about this application. Organization Name Contact First Name Contact Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone 1 For example 902-555-5555 Telephone 2 For example 902-555-5555 Fax Number For example 902-555-5555 Email Address Organization Information Provincial Incorporation Number All applicants must have a Provincial Incorporation Number. Year Founded List of Board Members and their Contact Information Maximum of 1000 characters. Organization’s Street Address Organization’s Phone Number Organization’s Email Is the contact person authorized to sign a contract or funding agreement on behalf of the organization? - Select -YesNo Name and title of person who is: