CLH UNITED WAY Grant Application

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2011 Lacie-Dawn Dearsley 000087317 Recreation Legislation March 28 th , 2011 United Way Funding Application

Transcript of CLH UNITED WAY Grant Application

2011

Lacie-Dawn Dearsley

000087317

Recreation Legislation

March 28th, 2011

United Way Funding Application

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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United Way Grant Application...........................................................................................3

References.....................................................................................................................18 Appendix.........................................................................................................................19

Letter of Support....................................................................................Appendix A

Table of Contents

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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FUNDING APPLICATION

2010 – 2011

Community Living Hamilton Agency Name: _____________________________________________

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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A: Contact Information Please provide the following:

Agency Name: Community Living Hamilton

Address: 191 York Boulevard Hamilton, Ontario L8R 1Y6

Phone Number: 905-528-0281

Fax Number: 905-528-5156

E-mail: N/A

Website: www.communitylivinghamilton.ca

Satellite locations (if applicable): Dragonfly Lodge, Rockwood Ontario

Charitable Registration Number: N/A

Contact Information for this application:

o Name: Lacie-Dawn Dearsley o Title: Recreation Placement Student o Phone: 905-637-8930 o Mobile: 289-429-0655 o E-mail: [email protected]

Name of Executive Director and contact information (if different from the above):

o Name: Sherry Parsley o Title: Executive Director o Phone: 905-528-0281 Ext. 232 o E-mail: [email protected]

Contact Information for the Board Chair:

o Name: Tim Nolan o Phone: 905-525-9140 ext 24339 o E-mail: [email protected]

Please provide the name(s) and contact information of those organizations with whom you are partnering with for the program:

o Partner: Catholic Youth Organization - Camp Brebeuf o Name: John Spatazzo, Executive Director o Phone: 905-528-0011 ext 3600 o E-mail: N/A

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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o Partner: Black Hawks Motorcycle Club o Contact: Tanya Sweers is the agency contact to the motorcycle club o Title: Coordinator, Community Resources o Phone: 905-528-0281 ext 245 o E-mail: [email protected]

Other Partners: Community Programs that relate to the needs and interests of supported individuals and their families for example: YMCA Summer Camps, Umbrella Child & Family Centre, The Blossom Club, Pinky Lois Recreation Centre, etc. B: Funding Request Information 1. Please provide the following information related to the funding request:

Program United Way of Burlington & Greater Hamilton

Funding Request Current Funding

United Way $20,000 n/a

The Trillium Foundation Up to $5,000 n/a

Summer Leisure Program Fees From $5 up to $640 per person n/a

C: Organizational Information (Section to be completed only once) C.1: Mission: Community Living Hamilton’s vision is “that all persons live in a state of dignity, share in all elements of living in their community and have equal opportunity to participate effectively”. Community Living Hamilton is committed to collaborating with individuals with intellectual disabilities and their families throughout their lifetime so that they can:

• exercise their citizenship • have real choices that are self directed • enjoy friendships and supportive relationships

We achieve this through:

• Skill development opportunities, supports, and resources for individuals, families and caregivers. • Community Development and Capacity Building and • Advocacy and Partnership Development (Community Living Hamilton, 2006)”.

C.2: Organizational Capacity: 1. How many staff and active volunteers are involved in the operation of the agency?

Full-Time Staff: 122 Part-Time Staff: 319 Volunteers: 160

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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2. Please describe the role volunteers play in the agency: Volunteers and placement students participate in and play varied roles with the agency providing support in programs and supplementing the roles of staff. Examples of how volunteers and placement students can work with the agency: “Best Buddies Program - Students from McMaster University, Mohawk College and Hillfield Strathallan College are matched “one to one” with an individual in the hopes of developing a friendship. CLH Program Volunteers - Volunteers provide support within our Respite, Day and Residential Programs assisting with work experiences, home and leisure activities. Friendly Callers – Individuals, who are supported by our agency, provide a weekly call to an isolated senior, providing friendly conversation and keeping them informed of community events and resources. One to One Volunteers - Volunteers befriend an individual, participating in fun activities of mutual interest and nurturing a sense of belonging Special Event Volunteers - Volunteers sit on committees to plan, organize and implement various Public Relations and Fundraising Events within Community Living Hamilton Placement Students – Students develop competencies and experience for career planning, developing a greater awareness of individuals who have an intellectual disability. Students come from college and university programs; Developmental Service Worker, Social Service Worker, Recreation and Leisure Services, Child and Youth Worker, Kinesiology, Nursing and Educational Assistant/Special Needs Support. We also provide placements to high school students within the Public and Separate School Boards in Hamilton (Community Living Hamilton, 2006)”. 3. Please describe the capacity of the agency to deliver the program(s) offered (200

words or less). Community Living Hamilton supports over 1,100 individuals of all ages, ethnicities, disabilities and abilities. Community Living Hamilton attempts to identify and support the needs of the supported individuals and their families by finding and implementing programs based on the client’s needs and interests. United Way has supported the Supported Summer Leisure Program for the past six years. Providing funds for over 100 individuals in need of financial support to pay for the summer trips offered by Community Living Hamilton. The summer program was created using the agencies policies, beliefs, and vision statement to assure that the individuals participating in the program best interests are

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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being put first. The summer program has been successful in the past six years because client needs and interests are considered when planning and organizing the programs activities and trips. This year the program will be a success because the programs core values come from Community Living Hamilton’s vision statement and beliefs while incorporating client’s needs and interests. 4. Have there been any changes to the agency’s organizational structure since you last

applied for United Way funding?

Yes No If “yes”, please explain. Community Living Hamilton hired a new executive director after Bryan Shields retired this year changing the agency’s organizational structure. The executive director’s name is Sherry Parsley. 5. Does the agency anticipate growth or significant changes to the organization in the

funding request period?

Yes No

If “yes”, please explain (200 words or less): a) What are the anticipated growth/change(s); b) When are they occurring; c) What will be the impact on clients served?

C.3: Strategic Planning:

Does the agency have a strategic plan?

Yes No

If “yes”, when was it completed? Community Living Hamilton’s strategic plan was developed in September of 2009.

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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C.4: Governance: 1. Please complete the following chart related to the agency’s Board of Directors:

Name Board Position Length of Service on

Board

Occupation City/Town of Residence

Tim Nolan President 2002 Program Coordinator, Centre for Student Development, McMaster

Hamilton

Sharon Derkach

1st V-P 2006 Secretary, H-W Catholic District School Board

Hannon

Mary Robertson

2nd V-P 2001 Assistant Supervisor, Child Care Centre & Parent

Hamilton

Bill Scandlan Secretary 2001 Retired Hamilton

Don Burroughs

Director 2008 Retired Hamilton

Judy Colantino

Director 2007 Parent Hamilton

Casey Duffy Director 2006 Special Education Consultant, H-W District School Board

Hamilton

Susan Jaap Director 2007 Registered Nurse & Parent

Hamilton

Peter Jones Director 2001 Human Resources, ArcelorMittal Ancaster

Monica Knott Director 2006 Speech Language Pathologist Hamilton

Joe Obermeyer

Director 2008 Plant Manager Sun Chemical

Hamilton

Janet Samples

Director 2002 Personal Secretary Ancaster

Patricia Santucci

Director 2007 Lawyer, Michael Lamont

Hamilton

Muriel Westmorland

Director 2002 Retired O.T Professor, McMaster University

Hamilton

Maike McCaskell

Director 2009 Occupational Therapist, Maximum Independence Inc.

Hamilton

2. Please describe the following elements of the Board structure and development

(In one or two sentences for each point): a) Board type: The type of board Community Living Hamilton has is governance.

b) Board recruitment process:

Community Living Hamilton’s Board of Directors is made up of 15 members that are elected by the members of the agency. “A minimum of 4 Board members must be directly related to an individual with an intellectual disability. A

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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Nomination Committee meets yearly to recruit prospective Board members. Board members are found via community connections, media, and area of expertise; for example; legal, financial, etc (Community Living Hamilton, 2006)”.

c) Board training: After being elected into the Board new members are orientated based on the agencies beliefs, mission, agency programs, vision, and policies. Directors are notified throughout the year of conferences and educational seminars that are board related for the purpose of strategic planning.

C.5: Financial Accountability: 1. Internal Financial Controls:

a) Are dual signatures from the agency required for issuing cheques? Yes No

i) What positions in the agency have the authority to sign cheques?

o President o Executive Director o 1st Vice President o 2nd Vice President o Director, Financial Services o Treasurer

ii) What is the maximum cheque amount that can be signed for by staff

members only? $ 2,000 or Not Applicable

c) Are financial statements regularly presented to the Board? Monthly Quarterly Semi-Annually

2. Agency’s Annual Budget:

a) Does the Board approve the annual budget? Yes No b) Who prepares the agencies annual budget?

Together the senior management team, financial services, and financial services associated with Community Living Hamilton prepare the annual budget and present it to the board for consideration and the final approval.

D: Program Information:

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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Before proceeding to complete Section D, please indicate the United Way of Burlington & Greater Hamilton Priority under which the organization is applying: Please check only one Poverty Prevention/Poverty Reduction Strengthen Neighborhoods Support seniors or other special populations Program Name: D.1: Program Description 1. Please describe the program’s key activities (400 words or less). The purpose of the Summer Supported Leisure Program is to provide activities to individuals with intellectual disabilities. These activities are designed to enhance the individual’s social, cognitive, emotional, and physical well-being while incorporating participation, socialization, education, and relaxation into their recreation and leisure time. The Summer Program also offers families, relatives, and friends of the individual a form of respite and relaxation by caring for the individual and assuring that their needs are being met while away from their care. As well as seven day cottage trips to Dragonfly Lodge; which is a cottage owned by Community Living Hamilton in Rockwood, Ontario. The Summer Supported Leisure Program includes travelling day programs throughout the Hamilton region for the duration of the summer. Participants of these day programs register for day trips based on what scheduled activities interest them. A variety of diverse day trips are scheduled throughout the summer to assure that all the individuals have an opportunity to participate in an activity that meets their leisure interests and needs. The agency strives to integrate all of the individuals they support into the community by removing barriers so that activities can be accessed by all individuals wishing to participate. Some individuals supported by the agency require greater levels of personal support due to their behavioural, developmental, and medical needs. “Others may need financial support to be able to access typical recreational settings. “The funding received from the United Way is used in a portable and flexible manner in response to the varying and changing needs and preferences of individuals and families (Community Living Hamilton, 2006)”.

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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2. Who is the target population, or the main groups the program will serve?

The population targeted for the Summer Supported Leisure Program is adults with intellectual disabilities above the age of 18.

iii) Identify the neighborhood’s(s) geographical area where the program will

be delivered? The summer day trips take place throughout the Inner and Greater Hamilton area. Dragonfly Lodge is located in Rockwood, Ontario on Camp Brebeuf’s campground. The summer cottage trips take place at Dragonfly Lodge and the cottage trips travel into Guelph, Hamilton, Toronto, and Niagara Falls throughout the seven day stay at the cottage.

iv) Describe how the program contributes to the achievement of the agency’s

mission (200 words or less). The Summer Supported Leisure Program provides activities for adults with intellectual disabilities to participate and share in the elements of recreation and leisure that the community has to offer them. By providing these activities the program is achieving the basis of the agencies vision statement.

v) Describe how the program contributes to United Way’s funding priority

(200 words or less). The Summer Supported Leisure Program contributes to the United Way funding priority to “reduce barriers and isolation for people with disabilities (United Way, 2011)”. The program will provide opportunities for the adults supported by Community Living Hamilton to participate in community based programs and activities regardless of their disability or abilities.

vi) What research/statistics were used to determine the need for the program

(400 words or less) “Recreation reduces isolation, loneliness, and alienation. McPherson, 1991 stated that leisure activities provide a social setting for the initiation and development of social relations (Canadian Parks and Recreation Association, 1997, pg 98)”. The Supported Summer Leisure Program is needed to reduce loneliness among the individuals supported by the agency by introducing them to other individuals throughout the duration of the summer.

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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“Improving the quality of life for individuals with disabilities is particularly enhanced through recreational and social interaction associated with having fun (National Association of State Park Directors, 2011)”. Summer day trips and cottage trips provide participants with numerous opportunities to socialize and build friendships through fun recreation and leisure activities that meet their needs and interests.

“Statistics Canada estimates that 20 % of the population of Hamilton lives in poverty, and people with disabilities represent 30% of that number (Hamilton Social Planning and Research Council, 2011)”. Funding assistance will greatly benefit those individuals that wish to participate in the summer program, but cannot afford to due to their financial situations. Approximately 80% of the 150 individuals that attend the summer program are in need of financial support to register for the summer trips. Parents and families that care for the individuals supported by Community Living Hamilton have additional financial burdens such as; medication costs, hiring care providers, purchasing special adaptive equipment, and transportation costs. These additional burdens should not prevent their adult children with intellectual disabilities from participating in fun interactive recreation and leisure programs. Although the Supported Summer Leisure program doesn’t help bring families out of poverty, it does help to alleviate some of life’s pressures that Hamilton’s most vulnerable families face.

vii) Who are you partnering/collaborating with in the program and why? (200

words or less).

The Catholic Youth Organization, through its Camp Brebeuf location supports the Supported Summer Leisure Program by playing host to Dragonfly Lodge which is located on the camp’s property. “Both the Catholic Youth Organization and Community Living Hamilton raised funds through various fundraisers to build the Lodge. Camp Brebeuf runs an inclusive camp setting for children of all abilities up to the age of 14; Camp Brebeuf often supports children with intellectual disabilities during their summer camps (Catholic Youth Organization, 2011).” When children turn 14 they can no longer attend Camp Brebeuf, so these children need to find new summer programs to attend. When these children turn 14 they can apply for Community Living Hamilton summer programs that support teens 14 plus. At the age of 18 these children can attend the Dragonfly Lodge summer cottage trips and return to Camp Brebeuf property. This partnership not only builds a community bond, but it brings clientele to both agencies because Community Living Hamilton can also recommend Camp Brebeuf to their younger clients. Together the two agencies collaborate meeting the standards of their mission statements and agency objectives.

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

13

The Black Hawks Motorcycle Club partners with Community Living Hamilton’s summer program on an annual basis raising money through a motorcycle “cool ride”. The Black Hawk Club leader initiated the fundraising event after the passing of his child with intellectual disabilities. Tanya Sweers contacted the Motorcycle club using networking contacts from other Community Living Staff. Together the two partners strive to better the live of individuals with intellectual disabilities and the motorcycle club does this by participating in the annual fundraising that Community Living holds for the summer program.

D.3: Program Outcomes and Measurements: Outcome Measurement:

Outcome(s)

Indicator(s) Findings/Results Data Collection

Individual’s attend and participate in the program without needing encouragement to participate.

95% of the individuals that register for the Summer Supported Leisure program actually attend the program.

100% of the individuals that registered for cottage trips attended the trips. 2/3 of individuals that registered for day trips did not attend due to financial inaccessibility and troubles finding appropriate transportation. With assistive funding we hope to see the attendance rise to 100% for day trips.

Attendance sheets from each day trip and cottage trip were recorded and kept on record. Attendance collected on a daily basis for day trips and at the beginning of each cottage trip.

Reduced social isolation and loneliness throughout the duration of the cottage trip.

90% of individuals that participate in the summer cottage trips enhance their socialization skills and build friendships be the end of the week.

Due to the diverse range of abilities, disabilities, behaviours, and developments of the individuals supported the results that were achieved are considered successful and no changes will be made; besides enhancing the amount of social opportunities that are available to the individuals.

Cottage staff documents the social behaviours of the participants throughout the duration of the cottage trip and they encourage the social interactions among the cottagers throughout the week at the cottage. These documents are recorded in daily logs.

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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Enhanced knowledge of their communities and the leisure opportunities within it.

75% of program participants show enhanced knowledge of leisure opportunities available to them within the Hamilton Community.

Each day at the cottage the participants attend a day trip of their choice. The day trips are chosen based on their interests and needs. Brochures and community tourism guides are used as examples of leisure activities that they mind find interesting. After reviewing these daytrips over 80% of the intended percent feel more knowledgeable about the leisure opportunities in their communities.

Participants are able to retain the information from year to year picking trips that they enjoyed from the year before using their attained knowledge to plan their leisure experiences during summer trips within the local communities.

An opportunity to relax and have fun without having to feel stress; relief of stress throughout the daytrips and cottage trips.

We hope that 100% of all program participants feel a sense relaxation during and after attending our summer program. The trips are meant to be an escape from stress and a form of relaxation.

Throughout the summer program participants almost always are pleased with the program and want to attend another program as soon as possible. The program meets the client outcome by creating a relaxing and stress free environment for the participants of the summer program.

PRN medication are rarely administered at the cottage because clients are relaxed and calm and they do not need to take extra medication to assist them with their behaviours because they are in a content state during the summer program.

Increased communication and social skills.

We hope that 100% of all individuals with the ability to communicate will enhance their communication skills through conversations with staff and other program participants.

Staff spent a minimum of two hours a day having group discussions with the program participants and throughout the day 1:1 conversations were had with the participants to encourage communication and socialization among the participants. Some participants did not need any encouragement and it was found that close to 90% of participants enhanced their communication and socialization skills during the summer program.

Daily logs are completed by program staff documenting their observations based on the participant’s communication and socialization skills along with other traits they may exhibit throughout the program duration.

Enhanced healthy eating habits and enhanced cooking skills

Annual cooking classes are offered every summer as a part of the summer program. Of all the participants that register for cooking class 90% succeed in with learning new cooking skills and healthy eating ideas.

The cooking class program is run on a weekly basis and participants design their own menus for each week. Their menus most follow Canada’s food guide and with the help of staff they design and implement healthy meals.

The participant menus are photocopied and staff review them offering suggestions on how to make the meals healthier and at the end of cooking class menus and cooking instructions are supplied to each of the cooking class participants showing them the work they completed throughout the cooking class process.

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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D.4: Project/Program Budget Instructions:

a. Itemize all sources of revenue. b. Itemize all program expense items and provide the appropriate expense amount

for each. c. Insert additional rows as required.

REVENUE DETAIL:

Revenue Source

Black Hawks Motorcycle Club – Cool Ride Annual Fundraiser

$12,000

The Trillium Foundation

$5,000

United Way

$20,000

Total = $37,000.00

EXPENSE ITEM DETAIL:

Expense Item

Staff Training

$250.00 x 8

$2000.00

Summer Support Staff Wages

3294 hours x $15.50 an hour

$35,000.00

Total:

$37,000.00

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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E. Upon approval of funding for the program the agency will agree to profile United Way’s investment in the program in the following manner:

Prominently display an identifying plaque or sign near the entrance of its premises with the United Way logo and/or words “United Way Agency” and on website.

Use United Way logo and/or the words “United Way Agency” on all printed

materials related to United Way funded program (including, where appropriate, letterhead, mail solicitation, brochures, newsletters, flyers, folders, news releases).

The logo and/or the words above should also be used in all publicity (print

or broadcast media) and all promotional items, as well as other marketing opportunities whenever possible.

Checklist of required attachments to support the Funding Application:

List of Board of Directors One Letter of Support

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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F. Board/Executive Approval I certify that to the best of my knowledge, the information provided in this application is accurate and complete and the funding request is supported by the agency I represent. I also certify if funding is approved, the agency I represent will provide the required reports of its finances and activities. I acknowledge if this application is approved the agency will be required to enter into a funding agreement with United Way outlining the terms and conditions of the grant. The agency will not conduct any fundraising during the United Way blackout period of September 1 – November 30. The Board of Directors is aware of its responsibilities as dictated by the Ontario Corporations Act; the Income Tax Act; the Ontario Human Rights Code, if applicable; the Charities Accounting Act, PIPEDA and Charitable Gifts Act. Further, the Board of Directors agrees to operate in accordance with United Way guidelines and policies. If neither the Chief Executive Officer/Executive Director nor the Board Chair/President is legally authorized to bind the agency, a third signature must be included of someone who can legally bind the agency. Do Not Complete this Section Signature of Board Chair/President Name (please print) Date Signature of Executive Director/CEO Name (please print) Date If applicable, signature of person able to Name (please print) Legally bind the organization Date

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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- Canadian Parks and Recreation Association (1997). The Benefits Catalogue. Ottawa: CPRA and Health Canada - Catholic Youth Organization (2011). Camp Brebeuf: Retrieved on March 18th, 2011, from www.cyo.on.ca - Community Living Hamilton (2006). Community Living Hamilton Inspiring Possibilities: Retrieved on March 16th, 2011, from www.communitylivinghamilton.ca. - Hamilton Social Planning and Research Council (2011). Reports: Retrieved on March 21st, 2011, from www.sprc.hamilton.on.ca - The National Association of State Park Directors (2011). National Association of State Park Directors: Retrieved on March 18th, 2011, from www.naspd.org. - United Way of Quinte (2011). Funding Priorities and Allocation Process: Retrieved on March 22nd, 2011, from www.unitedwayofquinte.ca

References

United Way of Burlington & Greater Hamilton Community Investment Fund

This grant application has been changed and modified for the purpose of Recreation Legislation RL421 (Mohawk College) and is not part of the United Way application process.

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Letter of Support...............................................................................................Appendix A

Appendix