community grant application
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Town of Kindersley Administrative Office th 106 5 Avenue East Box 1269 Kindersley, SK S0L 1S0 (306) 463-‐2675 (306) 463-‐4577 (fax) www.kindersley.ca
COMMUNITY GRANT APPLICATION PURPOSE: Annually, Kindersley Town Council will award a maximum grant of $750 for up to 20 community organizations to facilitate projects that develop, expand, and improve important programs and services for the residents of Kindersley and surrounding area. Funding will be awarded during two distribution periods and is subject to budget approval by Town Council. PROJECTS MUST: 1. Projects/programs must be conducted within the Town of Kindersley, and resulting goods or services must remain within the municipal boundaries upon completion. 2. Projects must benefit or have a positive impact on a key sector or demographic within Kindersley, or the community at large. ELIGIBLE APPLICANTS: 1. Any not-‐for-‐profit or community-‐based group/organization currently active within the Town of Kindersley municipal boundary. TERMS AND CONDITIONS: 1. The application must be printed legibly or typed and shall include the following: a. Name of organization b. List of executives c. Description of the proposed project d. Budget for the proposed project e. Timeline for the proposed project 2. The grant is not intended for projects and/or programs whose sole purpose is to generate revenue. If any revenue is generated, it is to be spent on the expenses of this project. The project should not seek a net profit. In the case that there is a net gain of revenue, then that revenue (not greater than the grant amount) is to be paid back to the Town of Kindersley. 3. Projects/programs requiring ongoing financial assistance will be considered. 4. Priority will be given to projects/programs that provide new goods or services to the community. 5. Organizations providing sport, recreation, and cultural services within the Town of Kindersley should apply to the Kindersley Community Initiative Program (KCIP) before applying to this grant. KCIP is funded by Saskatchewan Lotteries. Applications are online at www.kindersley.ca. 6. Repeat applicants must identify other sources of revenue or funding in their application.
Page 2 of 6 7. Eligible projects/programs should benefit a key sector or demographic within Kindersley or assist in bringing resources to those who would not be able to access those resources at market value. 8. Eligible projects should not duplicate existing projects or services within the community. 9. The grant is not transferable and must not be used for any purpose other than the approved project. 10. Organizations shall maintain proper financial records for the project and a final financial statement should be submitted to the Kindersley Town Office by December 15. Failure to provide the report will result in the organization becoming ineligible for future funding. Allocated funds that remain unused, must be repaid to the Town of Kindersley by January 1st of the next calendar year. Failure to do so will render the applicant ineligible for future funding. 11. Applicants shall be responsible for obtaining all required licenses, permits, insurances, permissions and other authorizations, including for the use any photographs, copyright materials, property, or other rights belonging to third parties that are used for the project. The Town of Kindersley shall not be held liable for any failure to acquire necessary permissions, or for any components or actions of organization. 12. Projects must reflect the best general interest of the community of Kindersley and should not promote any ideas or opinions that could be deemed as discriminatory or offensive in nature. 13. If an organization ceases to exist, any equipment purchased with Town of Kindersley Community Grant Funding shall become the property of the Town of Kindersley and be made available for community use. 14. Projects must be completed within one (1) year of the grant approval date. 15. Grant money will be issued by the Town of Kindersley. 16. Successful applicants must publicly acknowledge the Town of Kindersley for funding received, and should display the support logo provided in any publications or display advertising used. INELIGIBLE EXPENSES: • • • •
Property taxes or insurance Alcoholic beverages Donations Out of province activities and travel
APPLICATION PROCESS: 1. Submit an application form and all related material to the Town of Kindersley Administration Office (106 5th Ave E, Box 1269 Kindersley, SK S0L 1S0) by 4:00 pm, April 1 or September 30. a. Failure to completely fill out the application will make it ineligible. 2. Recommendations forwarded to Town Council for approval. 3. Release of grant money to successful applicants will follow formal Council approval. 4. Submit completed follow-‐up forms to the Town of Kindersley no later than December 15 of the same project calendar year. For additional information, contact: Nadine Anderson, Executive Assistant to the CAO and Council (306) 463-‐2675, ext. 223 or [email protected]
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COMMUNITY GRANT application Application Deadline: April 1 and September 30
Applicant name:
Main contact name:
Mailing Address: (number, street, postal code)
Phone #:
Email:
Fax #:
Name of Project:
1. Project Description: (Attach additional information if necessary)
2. Identify the kind and extent of impact this project will directly have to Kindersley residents: (Attach additional info if necessary)
3. Estimated schedule and date for project completion: (Attach additional info if necessary)
5. Total estimated cost of project:
4. Number of people to benefit from the project (Please explain):
6. Grant amount requested:
$ _________________
$ _________________
This request for funding is (select one):
q One-‐time
q Recurring
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Please provide any additional information that will assist in evaluating your project.
**Please attach a proposed budget indicating the estimated expenditure of the project as well as other revenue and additional contributions (including the Town of Kindersley Community Grant) it will receive. Include one (1) copy of the applicant’s previous year financial statement. If at any time during the project schedule, variations to the budget occur that will significantly impact the final cost, surplus or deficit, please contact the Town of Kindersley and provide a detailed account of the financial implications.
I, the undersigned, assert that the information provided is true and accurate to the best of my knowledge and is in compliance with the terms and conditions of the Town of Kindersley Community Grant. Name of Applicant: ______________________________________
Date: ____________________
Signature of Applicant: ___________________________________
Received by: ____________________________________________
Date: ____________________
Page 5 of 6 Town of Kindersley Community Grant BUDGET SUMMARY Complete the form and attach additional expense information. Organization Name: Income Cash Donations/Fundraising Program Fees In kind contributions (non-‐cash-‐ please list)
Other Grants (please list) 1. 2. Other Sources (please list) 1. 2. Total In-‐Kind Contribution Total Income
(without Town of Kindersley funding assistance)
Expenditures: (identify in-‐kind expenditures with *) Wages, Honorariums Program Support/Material Cost Facilities / Studio / Office Costs Travel Costs Advertising and Promotion Other direct related expenditures (please list):
Total Expenditures Projected Surplus / (deficit) without Town of Kindersley funding assistance REQUESTED GRANT AMOUNT
Amount Proposed $ $ $ $ $ $ $ $ $ $ $ $ $
Follow-‐Up Actual* $ $ $ $ $ $ $ $ $ $ $ $ $
Amount Proposed
Follow-‐Up Actual*
$ $ $ $ $ $ $ $ $ $
$ $ $ $ $ $ $ $ $ $
$
$
OTHER FUNDING SOURCES Name of Organizations Amount Requested Amount Received 1. $ $ 2. $ $ *Upon follow up, copies of receipts must be submitted and calculated as Follow Up Actual’s on this form. Variations between Amount Proposed and Follow Up Actual should be explained in the follow up report. Any major changes in budget should be approved by the Town of Kindersley prior to any expenditure. This financial statement should show the entire eligible project expense incurred, not just the amount granted by the Town of Kindersley Community Grant.
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COMMUNITY GRANT follow-‐up report
Follow-‐up Report Deadline: December 15
Applicant name:
Main contact name:
Mailing Address: (number, street, postal code)
Phone #:
Fax #:
Email:
Name of Project: 1. Was your project successful in achieving the goals identified in your application? Please explain. If not, why? (Attach additional info if necessary)
2. Date of completion for project. If ongoing, please specify.
Follow-‐up Report Completed by: (Please sign)
Date:
For Office Use Only Grant Number: ___________________ Resolution Number: ______________ Date Application Received: _________________ Application Completed in Full? Y / N Date Approved: ____________________ Amount ($) Requested: ________________ ($) Approved: _________________ Date of Cheque Requisition: _________________ Date Follow-‐up completed: ________________ Additional Information Required: _____________________________________ Eligible for Future Funding? Y / N
Town of Kindersley Administrative Office th 106 5 Avenue East Box 1269 Kindersley, SK S0L 1S0 (306) 463-‐2675 (306) 463-‐4577 (fax) www.kindersley.ca
COMMUNITY GRANT APPLICATION PURPOSE: Annually, Kindersley Town Council will award a maximum grant of $750 for up to 20 community organizations to facilitate projects that develop, expand, and improve important programs and services for the residents of Kindersley and surrounding area. Funding will be awarded during two distribution periods and is subject to budget approval by Town Council. PROJECTS MUST: 1. Projects/programs must be conducted within the Town of Kindersley, and resulting goods or services must remain within the municipal boundaries upon completion. 2. Projects must benefit or have a positive impact on a key sector or demographic within Kindersley, or the community at large. ELIGIBLE APPLICANTS: 1. Any not-‐for-‐profit or community-‐based group/organization currently active within the Town of Kindersley municipal boundary. TERMS AND CONDITIONS: 1. The application must be printed legibly or typed and shall include the following: a. Name of organization b. List of executives c. Description of the proposed project d. Budget for the proposed project e. Timeline for the proposed project 2. The grant is not intended for projects and/or programs whose sole purpose is to generate revenue. If any revenue is generated, it is to be spent on the expenses of this project. The project should not seek a net profit. In the case that there is a net gain of revenue, then that revenue (not greater than the grant amount) is to be paid back to the Town of Kindersley. 3. Projects/programs requiring ongoing financial assistance will be considered. 4. Priority will be given to projects/programs that provide new goods or services to the community. 5. Organizations providing sport, recreation, and cultural services within the Town of Kindersley should apply to the Kindersley Community Initiative Program (KCIP) before applying to this grant. KCIP is funded by Saskatchewan Lotteries. Applications are online at www.kindersley.ca. 6. Repeat applicants must identify other sources of revenue or funding in their application.
Page 2 of 6 7. Eligible projects/programs should benefit a key sector or demographic within Kindersley or assist in bringing resources to those who would not be able to access those resources at market value. 8. Eligible projects should not duplicate existing projects or services within the community. 9. The grant is not transferable and must not be used for any purpose other than the approved project. 10. Organizations shall maintain proper financial records for the project and a final financial statement should be submitted to the Kindersley Town Office by December 15. Failure to provide the report will result in the organization becoming ineligible for future funding. Allocated funds that remain unused, must be repaid to the Town of Kindersley by January 1st of the next calendar year. Failure to do so will render the applicant ineligible for future funding. 11. Applicants shall be responsible for obtaining all required licenses, permits, insurances, permissions and other authorizations, including for the use any photographs, copyright materials, property, or other rights belonging to third parties that are used for the project. The Town of Kindersley shall not be held liable for any failure to acquire necessary permissions, or for any components or actions of organization. 12. Projects must reflect the best general interest of the community of Kindersley and should not promote any ideas or opinions that could be deemed as discriminatory or offensive in nature. 13. If an organization ceases to exist, any equipment purchased with Town of Kindersley Community Grant Funding shall become the property of the Town of Kindersley and be made available for community use. 14. Projects must be completed within one (1) year of the grant approval date. 15. Grant money will be issued by the Town of Kindersley. 16. Successful applicants must publicly acknowledge the Town of Kindersley for funding received, and should display the support logo provided in any publications or display advertising used. INELIGIBLE EXPENSES: • • • •
Property taxes or insurance Alcoholic beverages Donations Out of province activities and travel
APPLICATION PROCESS: 1. Submit an application form and all related material to the Town of Kindersley Administration Office (106 5th Ave E, Box 1269 Kindersley, SK S0L 1S0) by 4:00 pm, April 1 or September 30. a. Failure to completely fill out the application will make it ineligible. 2. Recommendations forwarded to Town Council for approval. 3. Release of grant money to successful applicants will follow formal Council approval. 4. Submit completed follow-‐up forms to the Town of Kindersley no later than December 15 of the same project calendar year. For additional information, contact: Nadine Anderson, Executive Assistant to the CAO and Council (306) 463-‐2675, ext. 223 or [email protected]
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COMMUNITY GRANT application Application Deadline: April 1 and September 30
Applicant name:
Main contact name:
Mailing Address: (number, street, postal code)
Phone #:
Email:
Fax #:
Name of Project:
1. Project Description: (Attach additional information if necessary)
2. Identify the kind and extent of impact this project will directly have to Kindersley residents: (Attach additional info if necessary)
3. Estimated schedule and date for project completion: (Attach additional info if necessary)
5. Total estimated cost of project:
4. Number of people to benefit from the project (Please explain):
6. Grant amount requested:
$ _________________
$ _________________
This request for funding is (select one):
q One-‐time
q Recurring
Page 4 of 6
Please provide any additional information that will assist in evaluating your project.
**Please attach a proposed budget indicating the estimated expenditure of the project as well as other revenue and additional contributions (including the Town of Kindersley Community Grant) it will receive. Include one (1) copy of the applicant’s previous year financial statement. If at any time during the project schedule, variations to the budget occur that will significantly impact the final cost, surplus or deficit, please contact the Town of Kindersley and provide a detailed account of the financial implications.
I, the undersigned, assert that the information provided is true and accurate to the best of my knowledge and is in compliance with the terms and conditions of the Town of Kindersley Community Grant. Name of Applicant: ______________________________________
Date: ____________________
Signature of Applicant: ___________________________________
Received by: ____________________________________________
Date: ____________________
Page 5 of 6 Town of Kindersley Community Grant BUDGET SUMMARY Complete the form and attach additional expense information. Organization Name: Income Cash Donations/Fundraising Program Fees In kind contributions (non-‐cash-‐ please list)
Other Grants (please list) 1. 2. Other Sources (please list) 1. 2. Total In-‐Kind Contribution Total Income
(without Town of Kindersley funding assistance)
Expenditures: (identify in-‐kind expenditures with *) Wages, Honorariums Program Support/Material Cost Facilities / Studio / Office Costs Travel Costs Advertising and Promotion Other direct related expenditures (please list):
Total Expenditures Projected Surplus / (deficit) without Town of Kindersley funding assistance REQUESTED GRANT AMOUNT
Amount Proposed $ $ $ $ $ $ $ $ $ $ $ $ $
Follow-‐Up Actual* $ $ $ $ $ $ $ $ $ $ $ $ $
Amount Proposed
Follow-‐Up Actual*
$ $ $ $ $ $ $ $ $ $
$ $ $ $ $ $ $ $ $ $
$
$
OTHER FUNDING SOURCES Name of Organizations Amount Requested Amount Received 1. $ $ 2. $ $ *Upon follow up, copies of receipts must be submitted and calculated as Follow Up Actual’s on this form. Variations between Amount Proposed and Follow Up Actual should be explained in the follow up report. Any major changes in budget should be approved by the Town of Kindersley prior to any expenditure. This financial statement should show the entire eligible project expense incurred, not just the amount granted by the Town of Kindersley Community Grant.
Page 6 of 6
COMMUNITY GRANT follow-‐up report
Follow-‐up Report Deadline: December 15
Applicant name:
Main contact name:
Mailing Address: (number, street, postal code)
Phone #:
Fax #:
Email:
Name of Project: 1. Was your project successful in achieving the goals identified in your application? Please explain. If not, why? (Attach additional info if necessary)
2. Date of completion for project. If ongoing, please specify.
Follow-‐up Report Completed by: (Please sign)
Date:
For Office Use Only Grant Number: ___________________ Resolution Number: ______________ Date Application Received: _________________ Application Completed in Full? Y / N Date Approved: ____________________ Amount ($) Requested: ________________ ($) Approved: _________________ Date of Cheque Requisition: _________________ Date Follow-‐up completed: ________________ Additional Information Required: _____________________________________ Eligible for Future Funding? Y / N
