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).
abytpTuoophdulmiigscraeaenttqt,ciuuhloamnettsh.ebtreeiriannnmtethoheuedens t
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
Community Initiatives Fund
1
Jan 2017
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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
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Provide
a
brief
summary
of
the
project
that
fmEaxcaeilyci6
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ues
e Sdu
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ojefc
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doejescctri
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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
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fcorrib
pea
trhtieci
rpeasnutlst.s
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
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de n
h , Bceoiwdartp
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p p ltesyelhppeaa
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f pttiestuunrccnoohnnrg
j sioaebiifufttrcuefiigpteee
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p e srsthw,oeo,efred
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m c
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sp
u o bailegutwrondyityheiu
c t atfmaowhllnytlmdose
c dbrn
eo tiaekmhsntrsi
e frcsnpogi
r k ilegirsaebri
s xplisewulna
sde c tiri,htai
t n yhsiaencogan
i a urpbaednerialxs
l sdpntuipootrtlemisotrbpes.jis
e ea
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c a idepntnanaeiysvgtsd
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j p
ci ue rcetcteecitisvtict,eivhitdcpeiashaeotsanuttlathtllsceek,noPmsngraoeoetsbsje,otcfhuatoentr d developing leadership skills.
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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o
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o
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efit from the
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i ttydlmphhtr
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t n
iaeaTn
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h deeg
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s oom
i 5enff
o
w y ttchgheioreeatamhr
aapsmduu
h didisuciiseaen
nbn oiiccftlee
y itssthi
e
ewwevs
pehhnhaooart
wwtsvi,ceiillsilltpo
h bbaceeeniannotlspeei
p f faziionttirn
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g/ o
o
o nOCmmwrhil
d itb
i yytlyeedhoornrutu
ec aeorrundf
b ppir
u c6errrlio
eto a ?asnjrjc
e
e 1i (ttec5c1isfttv5
. .r
y .e+
iS e
S Se
e ae yaenllneeleredcscadctt
srt
a a
s ,iall)nlllml
t t
cthhhelaaaeutttt
da a
i apnpepppdpgllylyyw..n.
h eiwle
fr
i
FTCeneehmeidlndsasr,le
e 1an
2n
0
d?
?
1i
n 65
c
yyreeeaaarrsssi
n g their recreational andp
h
YPCyorhesuil-itd-schcrae
h 1lno7a
o
6 c?l
t
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1 t ydy
e eyaenkratsnsr
s o
wledge and
s
k
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s
h1
e2i
r?
d 1i6v
yeresaersa
bilities are valued and the
y
OEYhloledaumevtrhee
a
n t 1hdt7aeu
r ?loyt
p s 2
Sp
5(to5u
yr5dte+uea
nynrsetis
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o contribute.
ITd
he
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o dunetsmd
oisgarbaiplhitiicess
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avnedt
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o
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n dbpieeoprnro
/ aerHtdfuiiucgnilhatis
r tS
i (yec5hs5t
o .o+
o S
f yelo
le Seratcmutr
s ad)lmel
tnhetaastn
aipnplgy.f
ul
Irde
e
l
MFaneteimfotynias
tls
e hh
e ip
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olfu
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n t Sutesdle
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NMFeeamwleac
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ers
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CEPloreemm--smecnhutonaoirtlyy
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olunteers
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atsi
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n ?se
so
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Che
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who
will
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fr
o
NOCPJPmuoohootnh
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h n _att_s
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p_p_ly_._
______
UTNereebwnacnso
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s 1
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m
RAUmudrubrunaalitltn
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nd
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YONNCoooldumnnetpphmrrr
a oo1udff7niiutt
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aV
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e e
rrss//VVoolluunntteeeeJrarssn
2017
Id
e
Rnutirfayl
t Rhees
iddeemntosg
raphics
of
the
participants
and
/
o ONrto
bhnepnrr
e_of_fii_cti
_ Sa_tra_ief_fs_
._
S_e_le_c_t
_ a_ll
_ th_a_t_
a_p_pl_y_.
______
Female
POrteh--escr
h _o_o_l_
S_t_u_d_e_n_t_s_
_________________
Co
m
Mmaulneit
y
Initiatives
Fund
Co
m
Fmirusnti
Ntya
Intiitoiantsiv
es
Fund
4
Elementary
Students
4
Junior/High
School
Students
Jan
2017 Jan
2017
Metis
Post--secondary
Students
Newcomers
to
Canada
Community
Volunteers
Urban
Residents
Nonprofit
Board
Members/Volunteers
................
................
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