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Community Grant ProgramSample ApplicationThis sample application is based on a successful Community Grant Programapplication. It is designed to assist you in the application process by providingan example of several of the features we are looking for in an application. Pleasealso refer to our Application Guide for further help.If you have questions, need additional assistance, or have suggestions forimproving this example, please contact Rhonda Newton, CIF Grants Administratorat 306.780.9308 or by email at rnewton@cifsask.orgwww.cifsask.org
dline(select one)3ᴏOctober1–AnnualᴏFebruary1- ‐SummerᴏApril1- ‐AnnualTypeofGrant(select one)ᴏSummerLocal( 5,000 maximum)ᴏAnnualProvincial( 50,000 maximum)ᴏSummerProvincial( 10,000 maximum)3AnnualLocal( 25,000 t cifsask.org/grants/apply- elect one GrantRequest 14,500APPLICANTINFORMATIONThis number needsto match theayou reques mountt in thebudget, later in theapplication.(Please provide your responses in the shaded areas).OrganizationAnytown Centre for Inclusion and LearningAddressBox 123CommunityAnytown, Saskatchewan PostalCodeS0K axFaxCommunity Initiatives Fund1Ms. Jane SmithExecutive Director(306) 123-4567janesmith@email.com(306) 123-7654John DoeProgram Coordinator(306) 123-1234johndoe@email.com(306) 123-7654Jan 2017
eptthefundsontheirbehalf.(Refer to rogra ui elines or www.cifsask.org/grants/eligibility to rogra i elines or www.cifsask.org/grants/eligibility mustacceptthefundsointheirbehalf.in(Refer igibleforCommunityInitiativesfor furt er infor ation).for f rt er infor acceptthefundsontheirbIsehalf.Refer to rogra i elines or www.cifsask.org/grants/eligibility ᴏYesᴏNo3ᴏYesᴏNofor f rt er infor he name of the organization that zationincorporated?number.administer funds on behalfnumber.ᴏYesᴏNofothe dministeringOnlyThis is thAdministeringFundsOnlye ministeringFundsObnlynumber frᴏParentOrganizationAssociatedWithom ISC, nᴏParentOrganizationAssociatedWithot thecharity nCommittee/Groupapplicantandthisorganization.umber froᴏParentOrganizationAssociatedWithm CRA. Ifyou yFPartnerundsOnlyneed an el ve one, you willProgramCommittee/Groupigible orgProgramDeliveryPartnerᴏᴏOtheranizationto act as iveryPartnerdand accep orsing partnerTheEndorsingPartnerhasagreed to:ᴏOthert the fundᴏCOommittee/Groups on yourbehalf.therᴏA rThe maximtoctheproject “asapproved byCommunityAompletedDeclarationoftheEndorsementum lengthproject isForm”mustbesubmittedwiththeof aᴏOther12 ᴏapplication. Acknowledgesand accepts ��mustbesubmittedwithandtheconditionsrelating to the grant are metapplication.1 0 1 4 5 6 7 8 dress. elect only one ri ary ob ecti e an u to IndicateCIFobjectivest ree ot er the itional ob ecti es.thatyourprojectwilladdress. elect only one ri ary ob ecti e an to t ree ot er itional ob ecti sIndicateIFobjectivesthatyourprojectwilladdress. elect one ri ary ob ecti e an to only childrenandyoutht ree ᴏot er itional ᴏob ecti es.Healthygrowthanddevelopmentofchildrenandyouth3 eFunding yourprojectwilladdress. elect all t at a ly. From the list below indicate the priority areas that your project will address.elect all t at a ly. Fromthelistan belowindicateof thepriorityreasthatyourp rojectill ao unity ddress. Select all that apply. ealt y growt e elo ent c il ren an ayout n i i ual a ily wn ellbeing FundingPriorities ealt y growt an e elo ent of c il ren an yo t n i i al a ily n o nity ellbeing itylevelsHealthy growth and development of children and youthIndividual, family and community easingpwhysicalactivityl iorityareasthatprojectilladdress.elect all t at a ly. programoFamilysupportprogrammingooEarly childhood developmentAfterschool/weekendprogramo ealt y growt an e elo ent of c il ren an yo t Summercamp/recreationprogramooAUer school/weekend programSummercamp/recreationprogramoCommunity- er camp/recreaIon programoCommunity- nt/volunteerism/leadershipooCommunity- ‐school amdpevelopmentoYouth ngCommunity- /leadershiprogrammingodevelopmentYouthd nitiati es evelopmento Youth programming o unity un oYouthprogramming o nity nitiati es n 333 o nity nitiati es n 3ooIncreasing physical acIvity levelsFamilysupport n i i al a ily n p rogrammingo nity ellbeing lingwareness,educationandFamily support aactivitylevelspreventionprogramooProblem gambling awareness, educaIon ilysupportprogrammingoprevenIon ramoAddicIons awareness, educaIon and ntionprogramprogramJuly2015 o Violence and bullying awareness, educaIon 2017 prevenIon programo Program that promotes and encourages adopIonJan 2017 of healthy life styleso Reducing barriers to enable access andparIcipaIon
Youth th programmingo AddicIons awareness, educaIon and prevenIonprogramoo Violence and bullying awareness, educaIon andprevenIon programpreventionprogramo Program that promotes and encourages adopIonpreventionprogramoof healthy life festyleso Reducing barriers to enable access andparticipationparticipationSuppor6ve and inclusive communi6esCommunity engagement and capacity buildingSupportive and inclusive communitiesCommunity engagement and capacity buildingSupportiveand inclusivecommunitiesCommunityengagementand tencouragesvolunteerism,oCommunity centennialoIniIaIve that encourages unityparticipationandleadershipo OrganizaIon anniversarycommunity parIcipaIon and eoooTraining and support for individuals to becomeoOther community, organizaIon or nity leadersomilestone Program or event specific to Aboriginal culture,ooTraining for staff and/or volunteers of anizationsoidenIty, collaborationoFesIval or event showcasing Saskatchewan iIaIve that supports increased dothersoarIsans, lturalorbetween nonprofits and othersoFesIval or event celebraIng diversity, cultural ororeventcelebratingdiversity,culturalorProjects that are ke this one, still needintergeneraIonal understanding,intergenerationalunderstanding,to indica33333ProjectTitleProjectTitleProject TitleProjectStartDateProjectStartDateInclusive Social 30te a start andend date. The startdate must be at leasttwo months after theapplication deadline youare applying to.locations within Anytown such as the es, VariousProject Start DateProject End Datecentre,churchhall, shopping mall, and sporting facilities)facilities)Loca8on(s) of Project Ac8vi8es (communi6es,ExecutiveSummaryofProject(maximum 500 djudicationandcommunicationpurposes.The Anytown Centre for Inclusion and Learning works to reduce barriers facing youngExecu8ve Summary of Project) Provide a brief summary of the project thatadults with complex physical (maximum 500 wordsdisabilities. We createopportunities through our Inclusivemay be used as a project descripIon for our grant adjudicaIon and communicaIon purposes.Social Club, the Teaching and Learning Centre, the Summer Literacy Program, and Pathto Future Endeavours.The Inclusive Social Club is led by five vibrant young adults with and withoutdisabilities that plan and carry out monthly social, recreational, and physicallyactive events for young adults with complex physical disabilities, volunteers, and theentire community. Our staff work with, and mentor, the planning team to increasetheir leadership skills and to develop program planning skills (assessing, planning,promoting, implementing, and evaluating). The team actively recruits and orientatesCommunity Ini6a6ves Fund 84 August 2014volunteer university students to assist with eventimplementation.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 theevenings, and can include a variety of activities such as barbeques, sports events,bowling, and holiday celebrations.Community Initiatives FundCommunity Initiatives Fund33Jan2017Jan2017
nts.The Inclusive Social Club aims to address three issues. First is to reduce the multitudeof barriers that young adults with disabilities encounter to participate in communitysocial activities. Through program education and participation, barriers such as lackof knowledge and social ineffectiveness will be reduced. By providing events that aretruly accessible and free of charge, environmental barriers can also be hecommunityandtheissueyourprojectisdesignedNtothat theSecond is the lack of opportunities for adults with complex disabilities to actively otijeccetives talks abouant escribetheresultsandanychangeses,Obengage in leadership opportunities, gain employment skills, and to participate in issues, challenomg es rparticipants.outcthe community in a meaningful way. Through working with and mentoring the expectecipd ants, not thetirpasfive member team, we plan to support young adults in gaining experience andactivitiedeveloping leadership skills.Finally, the social club is an opportunity for all young adults in the community todevelop skills, participate in community activities and work alongside their mtheproject.If the project has been offered before, briefly describe the results and any changes that havebeen made to the project to improve outcomes for participants.The InclusiveSocialClub hasinbeenongoingforfthreeEach year our members rbenefitfromtheproject.surveys and we continue to see them become more engaged and less isolated which leads tohealthier lives. The number of new and returning members has increased each year. In thepast two years we have went from 20 members to 45, and we are projecting over 50 in thecoming year. As well, many volunteers have reported that the experience has improved theirskills and added to their education. The only change this year is the addition of a hip-hopdance class once a month, which is based on the feedback received from our withoutadisabilityincommunitybenefit from ram.be activeincluded whileᴏAdultsThose with disabilities have the opportunityᴏOldertoadults(55 romyourproject.Selectallthatapply.participatingin lactivityknowledgeandᴏᴏre- dera1dults(55 years)to contribute.ᴏFAirstNationsdisabilities that participate 5 aphicsᴏPskills.ost- ‐secondaryS.tudentsrelationships,and gain - nteersᴏNFemaleᴏCre- r/Highost- �OtherᴏMetisᴏPost- sidentsᴏNonprofitBoardMembers/Volunteers3 ults(55 ipantsand/orbeneficiariesᴏPOre- HighSchoolStudentsᴏMetisᴏPost- ers/Volunteers
ᴏ Children 0 – 5 yearsᴏ Teens 12 – 16 yearsᴏ Adultsᴏ Children 6 – 11 yearsᴏ Youth 17 – 25 yearsᴏ Older adults (55 years)Iden8fy the demographics of the par8cipants and/or beneficiaries. Select all that ᴏ3ᴏᴏPre- ‐school StudentsᴏNeighbourhood(s)ᴏProvinceᴏ3 Maleᴏ Elementary StudentsᴏFirst NaIonsTown/CityOut- ‐of- ‐Provinceᴏ3ᴏᴏJunior/High School StudentsTown/CityandSurroundingAreaᴏPost- ‐secondary and/orbeneficiariescomefrom?Selectallthatapply.3 Community Volunteersᴏ Newcomers to CanadaᴏᴏUrban tsand/orᴏ3ᴏᴏmayNonprofit Board d(s)ᴏPbeneficiaries.ᴏ3ᴏᴏNonprofit StaffᴏRural - ‐of- rom?Out- ‐of- own/CityandSurroundingAreaᴏROrovincetherSelect all that apply.Where will par8cipants and/or beneficiaries come eristicsthatᴏmayapplytotheparticipantsand/orang- ‐related/justicesysteminvolvedVut- ‐of- ‐Provinceulnerable/At- eparticipantsand/orᴏTown/CityᴏOut- ‐of- .ᴏ tyᴏayOut- ‐of- ght/obeseᴏHomeless/Sub- iciaries.ᴏTown/City and Surrounding AreaSang- /At- hsocially/geographicallyealthconditionang- At- ght/obeseIden8fy any of the following characteris8cs that may apply to the par8cipants cingdiscrimination/racismᴏGang- ‐related/justicesysteminvolvedᴏVulnerable/At- ‐riskbeneficiaries.Select all that apply.ᴏHComeless/Sub- ially/geographicallyLang- ��VOulnerable/At- s/Sub- ᴏdisabilitiesᴏsocially/geographicallyCommunity Ini6a6ves Fund tionᴏLAGBTTQAᴏAugust y.Rinesearch/evaluationᴏHomeless/Sub- b- FamilyᴏCommunityᴏOne- t?ᴏᴏIndividualᴏFamilyᴏCommunityOne- ntstakepartintheproject?a month3OtherTwiceᴏMonthlyᴏᴏOne- ntsakepartintheproject?ᴏMonthlyᴏOthertᴏOne- ntstakepartintheproject?ᴏMonthlyFundᴏOther5Jan 2017CommunityInitiativesᴏOne- ‐timeeventᴏDailyᴏWeeklyᴏMonthlyᴏOther
Onerecreationalevent per month. Light meal providedDec 1/16Nov 30/17One hip-hop/break dance class per month. Light meal providedDec 1/16Nov 30/17Monthly mentorship sessions with the planning committeeDec 1/16Nov 30/17Recruitment/orientation/training meetings and workshops with volunteersDec 1/16Nov 30/17Evaluation meetings held with planning committee, participants and volunteers mid-way through projectJune 1/17June 8/17Nov 23/17Nov 30/17Program evaluation at the end of the project.This is animportantstep thatshows thecommittee reviewingthe application thatyou havea wellthought out plan foryour entintheproject.involvementintheproject.30-40 Members with disabilities will have access to monthly social and recreationalactivities as well as monthly hip-hop dance classes. Friendships, increased confidence, andsocial capacities will increase, all of which contributes to self-reliance and empowerment.2-3 members with disabilities will build employment and leadership skills though mentorship.10-20 young adults (primarily individuals without disabilities) will gain experience incommunity inclusion by assisting with events and forming meaningful relationshipswith peers with rewill be bcompletedby allparticipants at the beginning, midway, and end ofthe project. This will ask for their feedback on their enjoyment of the activities, but also on howthey feel their social skills and inclusion in the community have changed.We will also hold focus groups three times throughout the year with current and potentialmembers as well as volunteers to discuss how inclusive their schools, workplaces, and publicspaces are. This information will help us to determine if members are seeing a change to amore inclusive community, and where more work is needed.Finally, we will track attendance at each event so we know how many people are attendingand returning to our eCommunityInitiativesFund.piece that osn is an nizethenewsletters,CommunityInitiativesFund.will report ohnows how you tThewillrecognizedas a hsupporterinillourquarterlythe ouyou atcomechievesocial media (Facebook and Twitter), website, and advertising materials.sin yourepCommunity Initiatives FundCommunity Initiatives Fund66ort, anr finad canlfuturehelp securefunding ifsuccesyou asful.reJan2017Jan2017
enueSource(s) ng.35,500MunicipalGovernment(RM, Town, City)ᴏᴏRevenueSource(s) tCorporationᴏᴏ31,100Corporate/
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 . Training for staff and/or volunteers of nonprofit .
