CF Grant Application Form

How did you hear about the Community Futures Grant program?**

Media (radio, newspaper)

Social media (Facebook, Instagram etc.)

Word of Mouth

Other

Project Information

Tick the box (or boxes) that best describe your application*

This application will support a youth initiative

This application will support the growth and promotion of tourism

This application will support the development of volunteers

This event will support a social or cultural event

This event will support innovation and/or technology that will impact economic development in Sarnia and Lambton County

This application will support skills development, education and training that will impact economic development in Sarnia and Lambton County

Tick the box that best describes you as the applicant*

Charitable organization or Registered Charity

Non-Profit Corporation

Accredited Service Club

Social Service Organization

Recognized Educational institution

Organization Legal Name*

Organization’s Operating Name (if different from legal name)

Incorporation number (for not-for-profits*)

Year of incorporation (for not-for-profits*)

Charitable registration number (for charities*)

Year of registration (for charities*)

9-digit Canada Revenue Agency (CRA) Business Number (if applicable)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Website

MISSION & ACTIVITIES

Provide your mission statement. If your organization does not have a formal mission statement, provide a statement that captures the organization’s principle mandate or overarching goal.*

Maximum 200 words

Tell us about your typical activities, services or programs.*

Maximum 200 words

How many people does your organization service annually?*

How many paid staff did your organization employ over the last 12 months (regardless of full-time or part-time status)?*

Lead Applicant Contact Person*

Name Position / Title

Email*

Phone*

Second Applicant Contact Person*

Name Position / Title

Email*

Phone*

View Policy, click here.

Financial Health & Stability

It is important to Community Futures Lambton that our Grant funding is utilized responsibly. As such, we are requesting that organizations provide financial statements – or other such alternative documents summarizing their financial operations – for the last two years. These documents will be kept confidential and will not be shared beyond the Grant Review Committee.

File

Max. file size: 2 GB.

If your organization does not have this information, please select ‘Not Applicable’ below

Not Applicable

Project Plan

What is the Project Name for which you are applying for grant funding?*

Describe the Project*

(Maximum 300 words)

Is this the first year for this project?*

Yes

No

Will this project continue in subsequent years?*

Yes

No

Project Start Date*

Project End Date*

List up to three (3) deliverables for this project.

NOTE: A ‘deliverable’ is what you are going to do to successfully execute your project.Then for each deliverable, list the key tasks that need to be completed. Provide a maximum of 3 tasks for each deliverable.Finally, provide the timeframe needed to complete each key task. Below is a SAMPLE Project Plan.

Sample Project Plan, click here.

Project Deliverable # 1*

Key Task # A*

Timing #A*

Key Task # B*

Timing #B*

Key Task # C*

Timing #C*

Project Deliverable # 2

Key Task A

Timing A

Key Task B

Timing B

Key Task C

Timing C

Project Deliverable #3

Key Task A

Timing A

Key Task B

Timing B

Key Task C

Timing C

In order to complete this project, will you rely on the participation and/or support of other community partners or organizations?*

Yes

No

If yes, please list and explain.

Maximum 100 words

Will you require volunteer support to execute this project?*

Yes

No

If yes, what are the anticipated number of volunteers required to support this project?

How will you secure this volunteer support?

(Maximum 50 words)

Provide details on how you will market and promote your project?*

(Maximum 150 words)

Provide detail on the ways in which the Community Futures Grant will be recognized.* (i.e. social media, website, signage, radio, print materials, in-person events and the like).*

(Maximum 150 words)

Identify the risk factors associated with undertaking your project and how you intend to mitigate these risks.*

(Maximum 150 words)

Project Budget

You can apply for $500 and up to $5,000 to cover your project costs. Community Futures Grant funding will only cover Project costs that fall within the following categories: (1) Personnel Costs – these are costs incurred to hire an individual(s) to support the successful execution of your project. (2) Project Costs: purchased services, workshops and/or meetings (rental space all all associated costs), supplies and/or materials, non-fixed equipment purchase or rental.

Budget Category

Complete the Project Budget below. Include ONLY the eligible project costs that you will use Community Futures grant monies to fund. Please use the SAMPLE Project Budget below as a reference.

Sample Project Plan, click here.

Personnel Costs (these are costs incurred to hire an individual(s) to support the successful execution of your project)*

Personnel Costs - Subtotal*

Project Costs ( purchased services, workshops and/or meetings (rental space all all associated costs), supplies and/or materials, non-fixed equipment purchase or rental)*

Project Costs - Subtotal*

Total Requested Grant Funding (Personnel Costs + Project Costs)*

What are your TOTAL Project costs (list all sources of funding including the Community Futures grant funding you have requested)*

What portion (%) of your total project costs does the Community Futures grant represent?*

Project Results

What are the expected benefits of the project including immediate results as well as long-term change or impact(s)?*

(Maximum 100 words)

What are the desired changes to the people, organization and / or community that you hope to achieve?*

(Maximum 100 words)

What are the anticipated economic development impacts that this project hopes to realize?*

(Maximum 100 words)

Grant Application

Online Form

Your vision, our support—together, we build stronger communities.

Project Information

MISSION & ACTIVITIES

Financial Health & Stability

Project Plan

List up to three (3) deliverables for this project.

Project Budget

Budget Category

Project Results

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