Grant Application Form - pgcf.ca
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Grant Application Form Please refer to the Grant Guidelines prior to completing this Application. All project details requested below are intended to provide the Grants Committee with information that ensures your project is in line with the established eligibility criteria. It is intended that this form take only forty-five to sixty minutes to complete. Note to prior Grant Applicants: Grant applications will not be reviewed for applicants with overdue Grant Final Reports nor for applicants who have not shown proof of recognition to the Prince George Community Foundation for previous grant awards. PROPONENT INFORMATION: Organization: CRA # : Partner Name (if applicable)*: Contact Person: Telephone: Email: Street Address: City, Postal Code: Website: Social Media Handles: * All applicants must be a Canada Revenue Agency Registered Charity, or partner with a CRA Registered charity that can receive the funds on their behalf. Be sure to include a letter from your partner confirming their agreement and contact information. Partner CRA # :
Transcript of Grant Application Form - pgcf.ca
Grant Application Form
Please refer to the Grant Guidelines prior to completing this Application.
All project details requested below are intended to provide the Grants Committee with information that ensures your project is in line with the established eligibility criteria. It is intended that this form take only forty-five to sixty minutes to complete.
Note to prior Grant Applicants: Grant applications will not be reviewed for applicants with overdue Grant Final Reports nor for applicants who have not shown proof of recognition to the Prince George Community Foundation for previous grant awards.
PROPONENT INFORMATION:
Organization:
CRA # :
Charity Number*:Partner Name (if applicable)*:
Contact Person:
Telephone:
Email:
Street Address:
City, Postal Code:
Website:
Social Media Handles:
* All applicants must be a Canada Revenue Agency Registered Charity, or partner with aCRA Registered charity that can receive the funds on their behalf. Be sure to include aletter from your partner confirming their agreement and contact information.
Partner CRA # :
ELIGIBILITY CHECKLIST
*To ensure you meet the eligibility requirements, please read the grant guidelines prior tostarting this application. Please place a “T” in the box for statements for which you agree.
A Please confirm that this project is not similar to any two other projects carried out by your organization and funded by the Community Foundation in the past five years, through our regular Spring and Fall grant intake.
B Please confirm that your organization is not an individual or a business.
C Project expenses are incremental to the existing organizational budget*
D Project expenses will occur following grant award, and not before.
E Project expenses do not include covering mortgages or debts.
F Grant funding will not be used for contributing to / creating an endowment.
G Project request does not exceed 7% of grant funding for use for core organizational expenses, including ongoing maintenance.
H Project costs do not include capital purchases that could revert to private ownership.
I Project costs do not include travel expenses, or team or club sponsorships.
K Any grant received will not be used to supplement an annual funding drive.
L Project costs are not for school-lead programs, including playgrounds
M Please confirm, if you are a past grant recipient, that your final report has been submitted by the required deadline, with recognition examples supplied to the PGCF.
N Please confirm that your organization is following all current Provincial Health Authority orders to complete this project safely for all involved.
*Eligibility is simply designed to ensure that PGCF grant funding is not displacing core funding.The Prince George Community Foundation wants to ensure funding is being used to promotean actual project of defined duration that is incremental to what an organization wouldnormally deliver as part of its core product or services, and for which our funding can have animpact.
APPLICATION METRICS
1. Number of Persons Directly affected by Project (ex. 4H Club Members): _________
2. Number of Persons Indirectly affected by project (ex. 4H Club Auction Attendees): _______
3. Please check what PGCF Area of Focus your project fits within (check all that apply):
Arts & Culture
Education
Environment
Sports & Recreation
Health
Social Services
4. Please indicate what population(s) this project serves (check all that apply):
Members of LGBTQ2S+
Women, Girls & Non-binary people
Official language minority communities
Newcomers, temporary foreign workers, and refugees
People experiencing domestic or gender-based violence
People experiencing homelessness
People experiencing low income or living in poverty
People living in group homes or supportive care
People living with mental illness
People living with addiction
People with different abilities
Indigenous: First Nation
Indigenous: Inuit
Indigenous: Metis
Indigenous: All
People of African Descent
People of Asian Descent
People of Latin American Descent
People of Middle Eastern Descent
Other Communities of Origin
Children and Youth
Seniors
Other (please specify) _________________________________________
Please note that applicants can apply for up to $ 10,000.
1. Total Project Cost: ______________________________2. Total Grant Amount Requested: _________________________________3. Total Funding Requested as a % of the total project costs: __________________4. Project Start Date: ______________________5. Project End Date: _______________________6. Final Report Due (3 months following project end date): _____________________
APPLICATION QUESTIONS
A. Organization/Project Overview
1. Describe your organization (max 100 words):
2. Describe your project (max. 250 words):
B. Project Details
1. Project Priority/Impact
Provide a brief description of why this project is a priority for your organization. Also describe the impact that your project will have on its intended target group and how it fits within your organization's mission & mandate. (max. 250 words)
2. Ability to Complete Project
Provide details on the capacity of your organization to complete this project on time and within budget. (ie. Staff capacity, resources, etc.)
3. Community Focus Factors
Describe how your project strengthens and/or improves the Prince George community. Include details on any community partnerships and how your organization is utilizing skills and resources that currently exist. (max. 250 words)
4. If there is a shortfall in funding this project, where do you anticipate the remainingfunds to come from? Will your project proceed with partial or no funding from thePrince George Community Foundation?
5. How will the project’s success be evaluated?
6. Have you received any other funding from the Prince George Community Foundationthrough one of our granting programs in partnership with Community Foundations ofCanada over the last 12 months? If so, please provide the name of the program,project and amount received.
7. Have you applied to any other granting agencies (non PGCF) for this project? If yes,please indicate who you applied to, amount requested and when the results areexpected.
Organization Amount Requested Application Status
ex. NDIT $ 10,000 November 2021
PROJECT FINANCIAL INFORMATION:
1. Your organization cash contribution: ________________________
2. Your organization gift-in-kind contribution: ________________________
3. Total % of operational costs for this project: _______________________
4. What % of operational costs are you requesting in this application: ______________
Project Budget:
Expense item: Amount: ($)
A Ie. Printing promotional materials for Exhibit
]
$ 3,000.00
B
C
D
E
F
G
H
TOTAL: $
Please do not hesitate to attach formal budget documents, financial statements, or other information if you believe it will help to clarify your application.
application.
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Funding Sources If applicable, please provide a summary of applicant contributions and all other organizations that will partner in the project with financial or in-kind contributions in the space provided below (please indicate whether the contribution was in-kind or monetary):
Organization / Description
Amount ($) Cash/In-Kind Confirmed/Pending:
ie. NDIT $500.00 Cash Pending – expected late October 2019
RECOGNITION & AWARENESS
1. Please tell us how you heard about the Prince George CF and our granting program(check all that apply):
Prince George Community Foundation website
Word of Mouth
Prior grant recipient/applicant
Other (please specify):
2. Please describe how you plan on recognizing the Prince George Community Foundationif successful for this grant. Please be very specific. All copies of recognition must beemailed to [email protected], including sharing images of any social media posts. If postingonline you can tag the Foundation using hashtag @pgcommunityfoundation
SUBMISSION & CONFIRMATION
Please submit this application with applicable attachments to [email protected]
Confirmation
Confirmation needs to be signed by the authorized signatory of the applicant organization. By signing below and submitting my application, I confirm that the information in this application is correct to the best of my knowledge.
I am also confirming that, if this application is successful, a final project report will be submitted within 3 months of my project end date, and that my organization will recognize the Prince George Community Foundation in any project related printed materials, signage or events. If a Final Report is not submitted on time and/or we fail to recognize the PG Community Foundation for this grant, I acknowledge that our organization will be ineligible to apply for future grants.
Signed*:
* You may submit via email, and simply make this confirmation statement directlywithin the text of your email.
XVI Submission Checklist
Evidence of support. This can include letters confirming partnerships, testimonials, program participants, video, etc.
Note: If the total project value exceeds $5,000 at least 2 separate documents are required.
Financial documents supporting budget requested. Ie. Budgets, quotes, scope of work, etc.
Emailed confirmation statement (if submitting electronically)
Charitable organization partnership agreement or letter (if applicable)
