Legal Entity Name (if applicable)
Please provide the registered legal name of your organization, if different from your project name
Project Name
Date of Project/Event (if applicable)
Project Contact
First Name
Last Name
Project Address
Address
City
Province
-- Please Select --
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Unknown
Yukon
Postal Code
Mailing Address (if different)
Address
City
Province
-- Please Select --
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Unknown
Yukon
Postal Code
Phone Number (XXX-XXX-XXXX)
Email
Please select all projected outcomes of the proposed project from Southport’s community investment priorities listed below:
Aerospace and AviationContribution to the aerospace & aviation industry, with particular consideration given to Southport, the Royal Canadian Air Force, or Canada’s military.
Community SupportSupports for causes, fundraisers, family or community entertainment, or needs within the community.
Diversity, Equity, Inclusion, and Accessibility (DEIA)Promotion, support, and celebration of individual differences (diversity), fairness and justice (equity), and supportive integration into our local communities (inclusion).
Education or Professional DevelopmentScholarships or educational programming that support the development and quality of life of local youth or community members.
Environmental SustainabilityPromotion of environmental responsibility within the community.
Recreation, Active Living, and HealthCommunity sports, programming, or events in support of local charities or social programs.
Do you live or work within Southport? Yes No
If 'Yes', please elaborate:
Project Description Please elaborate on the outcomes selected above. If you would like to provide additional documentation or details regarding this request, please forward to marketing@southport.ca and quote the project name.
Level of Support Requested:
If Southport will be recognized for this support, please describe the method of exposure:
Would you be interested in exploring additional ways Southport could support or participate in your project beyond a donation or sponsorship? Yes No
Please note: If Southport provides support for your project, you will be required to submit a report not later than two weeks after the project, outlining how the support contributed to your project and the impact of your project on the community.
Submit Request Form