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5
Lois M. Bewley Fund Application Form
Lois M. Bewley Fund Application Form
"
*
" indicates required fields
Organization Name:
*
Organization Address:
*
Website (if applicable):
Contact Name:
*
Contact Phone:
*
Contact Email:
*
If this is a request in response to an incident of censorship
Describe the incident, event, problem, threat, etc. precipitating this application. Indicate whether this is an ongoing or unique situation.
Describe your response(s) to date.
Identify the nature of the assistance you consider to be most appropriate for your situation:
*
Note that legal fees are not eligible for funding
Presentation or workshop for a board, the staff, the public, or other relevant group
Communications/publicity advice and support
Policy advice and support
Mental health support for staff impacted
Other
If you selected "other", please specify the assistance you need:
Please share any additional information about the assistance you are seeking:
Amount requested:
Indicate how the requested funds would be spent:
*
If you are requesting funds for a presentation or workshop
Who is your intended audience?
Your board/governance body/funding body
Your staff
Library board members throughout BC
Library workers throughout BC
General public
Other
choose all that apply
If you selected "other" please specify your intended audience:
Title (if known) or Topic:
Format (webinar, online discussion, conference session, etc.):
Description:
Presenter & bio:
Proposed date and duration:
Location if applicable:
Key learnings:
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