Rural Child Care Project

              APPENDIX 1
Alberta Rural Childcare Pilot Project Committee
APPLICATION FORM
Name Address
Postal Code Phone Number
Location of Project
Anticipated beginning date Ant. end. date
Number of days or hours per week; daily weekly.
one day a week varying
Proposed # of famillies involved # of children involved...
Type of farming operation
Why your situation requires on farm child care
Budget Breakdown; income.
expenses.
Who will participate; individuals, organizations, volunteers
etc
Details of proposed project, please write a full and explicit description
e. g. child care sharing, central registry for care givers, others. Use the
back of this sheet or attach your own.
How do you forsee this project functioning after our support ceases?
signature date
Please send this application to the nearest address on the following list.
Chairman: Noreen Olson, RR# 2 Carstairs Ab. TOM 0N0, 337- 2037
Sec- Treas: Win Waters, RR# 3 Innisfail Ab. TOM 1A0, 227- 2004
Margaret Jones Box 1072 High Prairie Ab. TOG IEO 524- 2369
Shelley Bradshaw Box 1149 Innisfail Ab. TOM I AO 227- 5414
Shirley Reinhardt Box 111 Rockyford Ab TOJ 2RO 533- 2124
Beverley Fausak Box 324 Evansburg TOE OTO 727- 2060
Alberta Rural Child Care Pilot Project
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