Required fields are marked with asterisks (*)

Lanark County Community Grants Application

Please complete the form below to submit your Lanark County Community Grant Application.

Project Contact Person/Organization

Contact Person

Title

Street Address

City/Town

Postal Code

Telephone

Sponsoring Organization (if applicable)

Name of Organization

Street Address

City/Town

Postal Code

Telephone

Funding Request

Select the type of grant you are requesting

Select a category

Funding History

How long has your group been in existence?

Are you or your sponsoring body incorporated?

Yes

Have you applied for and received funding from any other source for this project?

Yes

Project Budget

Using this format, please be specific under expenditures (i.e. salaries - what are the positions and level of pay; purchase of service - what does this apply to, etc.).

Salaries & Benefits (Amount)

Travel Expenses (Amount)

Printing/Postage/Office Supplies (Amount)

Rent/Utilities/Phone (Amount)

Advertising (Amount)

Program Supplies (Amount)

Purchase Services (Amount)

Equipment Lease (Amount)

Other - Please Specify (Amount)

Total Budget (Amount of all items above)

Less total funding requested/received from other contributors for this project (list below).

Amount Requested (list the total of all amounts requested from other sources listed above)

Amount Received (list the total of all amounts received from other sources listed above)

Total funding request from Lanark County Community Grants Program (total budget less any amount received from other sources)

Note: The costs of your project must be kept separate from your group's everyday, ongoing expenses.

Proposal

Your proposal must follow the format below.

Mandate or Mission Statement of individual/group. Describe the general purpose of your group.

Clients of the organization. Who are the clients of the organization? Do you target programs and services to any particular group(s)? How are you going to target this group to participate?

Your experience working in the project area. Give examples of successful projects you have participated/completed in the past.

Geographic area served. Describe the geographic area served by your group.

Project Description

Project Goals and Objectives describe your project goals and its specific objectives

Outline the work plan and timeline of the project. Detail your work plan, including the main activities. When will they start and how long will each one take?

Who will be involved in this project? Identify specific target group(s). How many paid staff, volunteers? What will they be doing?

The partners to be involved in the project. Provide information about the roles/responsibilities/contributions of your partners in this project.

Evaluation of your project. How will you know if you have been successful. What and how will you measure or assess? Do you plan on sharing the results with others? Relate results of your target group (i.e. # served, did employment result, etc.)

Please upload any additional material that is relevant to your application.

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Authorization

By signing you declare that you are authorized to sign this application on behalf of the organization applying for a Lanark County Community Grant.

Clear

Name:

Position:

Date:

All required information must be submitted with proposals before consideration is given to projects.