Community Grant Program Sample Application

Community Grant Program Sample Application

This sample application is based on a successful Community Grant Program application. It is designed to assist you in the application process by providing an example of several of the features we are looking for in an application. Please also refer to our Application Guide for further help. If you have questions, need additional assistance, or have suggestions for improving this example, please contact Rhonda Newton, CIF Grants Administrator at 306.780.9308 or by email at rnewton@



COMMUNITY GRANT PROGRAM APPLICATION FORM

April 1 -- Annual

Application Deadline (select one)

3

October 1 ? Annual

February 1 -- Summer

3 Type of Grant (select one)

Annual Local ($25,000 maximum)

Summer Local ($5,000 maximum)

Annual Provincial ($50,000 maximum)

Summer Provincial ($10,000 maximum)

Region Where Project Will Be Delivered (select one)

To determine the correct region refer to the map at grants/apply--here.

North

3

Central

Provincial (select one below)

The project will occur in more than one region.

South

Project participants will come from more than one

region.

Grant Request $ 1 4,500

APPLICANT INFORMATION (Please provide your responses in the shaded areas).

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Organization Anytown Centre for Inclusion and Learning

Address

Box 123

Community Anytown, Saskatchewan Postal Code S 0K 1Z0

Primary Contact Person Ms. Jane Smith Position / Job Title Executive Director Phone (306) 123-4567 Email janesmith@ Fax (306) 123-7654

Alternate Contact Person John Doe Position / Job Title Program Coordinator Phone (306) 123-1234 Email johndoe@ Fax (306) 123-7654

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Project Title Project Title PPrroojjeecctt

TSittalret Date Project Start Date

Inclusive Social Club

2016/12/01

Project End Date Project End Date

2017/11/30

lPirkoejetchtisstohnaet,asrteilolnngeoeidng, to indicate a start and end date. The start date must be at least two months after the application deadline you are applying to.

PLorocjaetciot n S(tsa)r ot fD Partoeject Activities (communities, fLaoccilaittiieosn) (s) of Project Activities (communities, facilities)

VParroiojuesclto c Eantidon Ds waittehin Anytown such as the recreation

centre, church hall, shopping mall, and sporting venues.

LEoxceac8uotinve(s S) uomf Pmroarjeyc ot f A Pcr8ovjei8cte s(m (acoximmmumun5i060ews,o rds) Provide a brief summary of the project that fmEaxcaeilyci6 u betesiv) ues e Sdu m asm aa prryo ojefc Ptr doejescctri (pmtiaoxnim fuomr o50u0r w groardnst)

a Pdrojuvdidicea tai o bnri eanf dsu cmommmaruyn oifc a thtieo n p r poujerpcot s tehsa.t

may be used as a project description for our grant adjudication and communication purposes. The Anytown Centre for Inclusion and Learning works to reduce barriers facing young

Eaxdeucluts8vwei t Shucmommaprleyx opfh Pyrosijecactl (dmisaaxibmiulimti 5e0s0. Wwoerdcsr)e Partoevoipdpeo art burnieift i seusmthmroauryg ohfo tuhre I pnrcoljuescitv tehat mSoacyi able C ulsuebd, atsh ea T peraocjehcitn dgeascnrdipLIoeanr fnoirn ogurC genratnrte , atdhjeudSicuamIomne ar nLdi t ceoramcmy uPnriocgarIaomn ,paunrpdoPseast.h

to Future Endeavours.

The Inclusive Social Club is led by five vibrant young adults with and without disabilities that plan and carry out monthly social, recreational, and physically active events for young adults with complex physical disabilities, volunteers, and the entire community. Our staff work with, and mentor, the planning team to increase their leadership skills and to develop program planning skills (assessing, planning, promoting, implementing, and evaluating). The team actively recruits and orientates Cvomolmuunntiteye r Inui6na6ivveesr s Fiutnyd s t u d e n t s t o a s s i s t w i t h e v 84e n t i m p l e m e n t a t i o n . August 2014

Two events are offered, the largest event is an adapted hip-hop initiative held monthly. The second event changes monthly, is typically scheduled on weekends or in the evenings, and can include a variety of activities such as barbeques, sports events, bowling, and holiday celebrations.

Community Initiatives Fund

3

Community Initiatives Fund

3

Jan 2017 Jan 2017

Project Objectives

Briefly describe the community and the issue your project is designed to address. If the project has been offered before, briefly describe the results and any changes that have been made to the project to improve outcomes for participants.

Project Objectives

Briefly describe the community and the issue your project is designed to aPdrodjreecsts .O Ibf jtehcet i pvreosj e

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and any changes that have been made to the project to improve outcomes for participants.

The Inclusive Social Club aims to address three issues. First is to reduce the multitude of barriers that young adults with disabilities encounter to participate in community social activities. Through program education and participation, barriers such as lack of knowledge and social ineffectiveness will be reduced. By providing events that are PattSetfhdrrhinaovuedegctejrlec o a yehmoncgsamtsadvee .Ocmem i Iicbfn s beb u jtseetehlnshreceeiatenitb i tpdev l l ymaraeeeomrcsaaisjkn de n h , Bceoiwdartp f it eehofmoofrap p p ltesyelhppeaa

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Finally, the social club is an opportunity for all young adults in the community to develop skills, participate in community activities and work alongside their peers.

Describe who will participate in and/or benefit from the project. If the project has been offered before, briefly describe the results and any changes that have been made to the project to improve outcomes for participants.

DTehsecIrnibcelu wsihvoe wSiolcl i paalrCtilcuipbahtaes inb e aenndo/nogr obienngeffiotr ftrhormee tyheea prsro. Ejeaccth. year our members complete Dsuesrcvreiybse a wnhdow weilclo pnatritnicuipe atotes e ine

t ahnedm/obre c boemneefmito frreoemn g thaeg epdroajnecdt.l e ss isolated which leads to healthier lives. The number of new and returning members has increased each year. In the past two years we have went from 20 members to 45, and we are projecting over 50 in the coming year. As well, many volunteers have reported that the experience has improved their skills and added to their education. The only change this year is the addition of a hip-hop dance class once a month, which is based on the feedback received from our members.

DSeelseccrti b thee w ahgoe w ofil lt h pea r atuicdipieantcee isn w anhdo/ woril lb beenneefifti t f r foromm t h yeo u prr o pjreocjte.c t. Select all that apply.

Children 0 ? 5 years

Children 6 ? 11 years

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