Application Form

Organization

Name of organization

CRA charitable number

Mailing address

City/town

Province

Postal code

Primary contact and title

Name and title of organization manager, if different

Contact phone

Contact email

Description of your organization. (History, Services Provided, Mission/Vision - Max 3000 characters)

Project or Request

Specific amount requested

Project title

Please describe the specifics of the project for which you are applying for funding (Max 3000 characters)

Geographic area covered (Max 3000 characters)

Goals and objectives of this project? (Max 3000 characters)

Project start date

Why is this project important, and for whom? How will the successful development of this project answer the specific needs of and increase opportunities for your target group? (Max 3000 characters)

Please indicate how the target group will be involved in the design and/or realizationof this project (Max 3000 characters)

How will you measure the success of this project? (Max 3000 characters)

Implementation budget (Max 3000 characters)

Other partners and /or anticipated sources of funding

What is your plan for ongoing sustainability of this project? (Max 3000 characters)

Please attach a copy of the most recent (audited) financial statements (Max file size 2.5MB)

Please attach a list of Officers and Directors (Max file size 2.5MB)

Please attach a copy of the last annual report or activity report (Max file size 2.5MB)