Søknad om tilskudd – Tilskudd til inkludering av nyankomne flyktninger i lokalsamfunn (kultur- og fritidsaktiviteter) Navn: ____________________________________________________________________________ Adresse: __________________________________________________________________________ Telefon: _______________ Mobil: _________________ E-post: _____________________________ Organisasjonsnummer: ______________________________________________________________ Det søkes om tilskudd, kr: _____________________________________________________ Beskriv hva tilskuddet skal brukes til: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Konto for utbetaling av tilskudd_________________________________ Dato: ________________ Underskrift: _________________________________________ FYLL UT SKJEMAET, LAGRE OG SEND DET PÅ E-POST TIL [email protected]. eller med post til: Stavanger kommune Postboks 8001 4068 Stavanger