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 Violence Against Women Prevention Grant. If you have any questions about this collection of personal information, you may contact the Michelle Harris-Genge at 902-368-5557. Information may be verified. Identification Enter information of person to be contacted about this application. Business/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 Name of non-profit organization Business number All applicants must have a provincial incorporation number. Year founded Do the organization’s principles, objectives and activities support legal, health, social and/or economic equality for women? - Select -YesNo Please specify: Maximum of 1000 characters. List of Board Members and their contact information Maximum of 1000 characters. Organization’s street address Organization’s phone number Organization’s email