Grant Applications

Community Impact Grant

Please complete your Grant Application and submit.

Download the Grant Information document.

Download the Sponsor Agreement Letter, if required, have your sponsor complete it and upload here.

Part A: Applicant Information

Who Are You?

Organization Name

Contact Person

Position/Title

Phone

Mailing Address

CRA Registration Information

Are you a Registered Charity/Qualified Donee?

Yes

CRA Registration Number, if Yes

Are you a Non-Profit Society (Club, Association) without a CRA number?

Yes

If you checked Yes, you MUST have a Fiscal Sponsor

Fiscal Sponsor Information (if applicable)

Sponsor Organization Name

Contact Person

Phone

Registration #

Upload the Sponsor Letter of Agreement (must be completed by the Sponsor)

Briefly provide the following information:

1. What is the purpose of the organization? What services are provided? (Include target population, geographic area served and number of people served.)

2. What is the annual operation budget? Who are the major operational funders?

3. Do you have staff? How many full/part time? How many volunteers?

4. Please provide a list of your current Board of Directors.

Part B: Project Details

What Do You Want To Do?

Project Title:

Project Start Date

Year

Month

Day

Project End Date

Year

Month

Day

1. Project Summary: Describe your project in 3-4 sentences. What will you actually do with the money?

2. Community Need: Why is this project needed right now? Who will benefit from it? (e.g., seniors, youth, specific neighbourhood).

3. Success: How will you know the project was successful? (e.g., "50 people attended," "New roof installed," "Program ran for 8 weeks").

Part C: Project Budget

Show Us The Math

Total Project Cost:

Amount Requested from Foundation:

Can your project proceed with partial funding?

Yes

Budget Breakdown: Please list the main expenses (e.g. materials, rentals, instructors)

Item Description and Cost (list items and cost on separate lines).

Total Expenses

Other Funding Sources: Are you getting money from anywhere else? (Ticket sales, other grants, own fundraising). List Sources and Amounts on separate lines..

Part D: Authorization

We certify that the information contained in this application is accurate.

If we are awarded a grant, we agree to:

Use the funds only for the purpose described above.
Recognize the North Thompson Communities Foundation in our publicity.
Submit the Grant Claim and Final Report within 30 days of project completion.

Signature of Applicant (typing your name here acts like your signature)

Date

Year

Month

Day

Upload Your Financial Statement

Grant Applications

Community Impact Grant

Part A: Applicant Information

Part B: Project Details

Part C: Project Budget

Part D: Authorization

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