Multicultural Council of Saskatchewan

452 Albert Street North, Regina SK S4R 3C1

P: (306) 721-6267 | F: (306) 721-3342

E: |

APPLICATION FOR APRIL 1, 2017- MARCH 31, 2018 MEMBERSHIP

MEMBERSHIP TYPE:FEE:

□ Business/Institution/Government$100.00

□ Non-Profit Organization or Association$50.00Non Profit Corporation #

□ Individual – Adult (26 years of age and older)$25.00

□ Individual – Youth (25 years of age and younger)$10.00

Make cheque payable to: Multicultural Council of Saskatchewan

Please Print the Following Information:

Individual Name:

(‘Individual’ Members)

Organization/Association/Business/Institution/Government Department Name:

Main Contact’s Name: Position:

(Organization, Association, Business, Institution or Government Members)

President’s Name: President’s Phone #:

(Organization, Association, Business, Institution or Government Members)

The following information is required for the Main Contact:

E-Mail Address:

“I CONSENT” to continue receiving electronic communication from MCoS.

Mailing Address:

City: Postal Code:

Phone: Fax: Cell Phone:

SignaturePrint name

Date

Please return this form, along with your cheque, to:

Multicultural Council of Saskatchewan (MCoS)

452 Albert Street North

REGINA SK S4R 3C1

Member Support:

MCoS is seeking member input on the programs and services it offers. What kinds of support would you utilize? (Examples: workshops – please provide sample topics; investments in projects that further our mission, aims and objectives; public education and communications; assistance when seeking other funding, etc.)

In order to demonstrate how culture builds community and provide accountability, we need the following information from all MCoS members. Please include organizations that are your members in the numbers. THANK YOU!

Membership:

(a)# of Individual Members

Volunteers:

(a)Total # of Organization’s Volunteers______

(b)Total # of Organization’s Volunteer hours per year ______

Programs: (Both member and public events)
Number of Programs Targeted to Each Group / Total # of Programs
Youth
(19 & under) / First Nations and Métis / Rural Communities / Northern Communities / Senior Citizens / Newcomers / Non-specific
0

Estimated # of participants


The Multicultural Council of Saskatchewan is committed to promoting,
fostering, improving and developing multiculturalism in the cultural,
economic, social and political life of Saskatchewan while working to
achieve equality of all residents. MCoS is supported by Saskatchewan

Lotteries through SaskCulture.