Community Grant Program Sample Application

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- entalillnessWherewillparticipantsand/o

Request Jan 2017 3 3 3 14,500 Anytown Centre for Inclusion and Learning Box 123 Anytown, Saskatchewan Ms. Jane Smith John Doe Executive Director Program Coordinator (306) 123-4567 (306) 123-1234 janesmith@email.com johndoe@email.com (306) 123-7654 (306) 123-7654 S0K 1Z0 This number needs to match the amount you request in the budget, later in .