To complete and return to EXPERIENCES CANADA

within 1 week following the end of your exchange.

Fax (613) 727-3831 or e-mail info@experiencescanada.ca

14. FINANCIAL AND NON MONETARY REPORT

Group name: ___________________________________________ Experiences Canada project #: _____________
Group Organizer: __________________________________________________________________________________
# of Youth: _________________ # of Chaperones: _______________ Bilingual Exchange ? YES NO

1. FINANCIAL REPORT
Please list the sources and amounts of Revenue raised and Expenditures incurred as a result of your
group’s participation in the Experiences Canada Exchange program.

Revenue ($)
Experiences Canada Funding Revenue
 Bus transportation ______________________
 Special Measures ______________________
 Other _______________________
Fundraising – Individual ______________________
Fundraising – Group ______________________
Fundraising – Corporate ______________________
Contribution – Participants/Parents ______________________
Contribution – School/Organization ______________________
Other Revenues ______________________
______________________
______________________
Total Revenue $ ______________________

Expenditures ($)
Experiences Canada Fees
• Group Membership Fee $250
• Registration Fees
($250 x no. of participants) ______________________
Local Hosting Costs
• Transportation/Bus ______________________
• Activities ______________________
• Meals ______________________
Others
• Substitute teacher costs ______________________
• Special Measures ______________________
• Additional chaperone costs ______________________
• Miscellaneous ______________________
______________________

Total Expenditures (include Group membership fee) $_______________________

Net Income (Loss)/Revenues less Expenses __________ $_______________________

Financial Report and Non-Monetary Contributions June 2023 Page 1 of 2
 To complete and return to EXPERIENCES CANADA
within 1 week following the end of your exchange.
Fax (613) 727-3831 or e-mail info@experiencescanada.ca

2. NON MONETARY CONTRIBUTIONS

Please indicate any “in-kind” support your group received for this exchange, taking into account all of the
contributions and donations made, and assign a comparative dollar figure. Please note that this is not a
budget but an estimate of “added value” to assist in reporting to our funder Exchanges Canada.

Name of company, Description EXAMPLE Estimated Monetary Value

organization
Houle sport 20 tee-shirts from Sports Shop $200 (20 @ $10)

Ottawa Sun

SAMPLE
Science & Technology museum

Maestro Bus line

Overbrook community Center
Total
Free entrance to Local Museum
Publicity for program (free ad in local
paper)
Local transportation
Free use of Community Hall
$80
$120

$800
$150
$1350.00
(20 @ $4)

Name of company, Description Estimated Monetary Value

organization

3. Please also include an estimate of volunteer hours contributed.

Group Other Parents Community

Organizer Organizers

Estimated Total Volunteer Hours

Financial Report and Non-Monetary Contributions June 2023 Page 2 of 2