Grant Application

Grant Application Form

* Indicates required field

Legal Charity Organization Name (cheque payable to) *

Project Name *

Main Contact Person *

Title Or Position of Main Contact Person *

Phone Number *

Email *

Website *

Geographical Area Served *

Charity Organization Address *

Total Amount Requested *

Charitable Registration Number *

SECTION B: Summary

Please write a one-page summary of project. Provide background about the issues you hope to address. Include your goals and objectives, inputs, activities, and anticipated outcomes.

Write Your One-Page Summery Here: *

SECTION C: Please provide details as requested in 1-15 below.

1. Describe what is already in place in order to start or continue this project. Who will be facilitating and implementing the project? *

2. Describe the location of the project. Tell us about the vulnerable population in this neighbourhood that need to be served by this project. *

3. Target Group (i.e. specific age ranges among children, adults, seniors, the number of people you plan to reach). *

4. Describe how this project will promote and support the nutritional health of BC residents. *

5. Specific activities that will meet your goals (attach sample one-page curriculum outline, if applicable). *

Upload File for Question 5 *

Max file size: 20MB

6. Do you have a safety plan to minimize the risks of COVID-19? *

7. Provide anticipated barriers/challenges to achieve objectives and strategies to overcome them. *

8. Will this project go ahead if NutritionLink Services Society does not fund? *

9. Describe your evaluation plans (include indicators, methods of measurement, and address how the program can be replicated).Untitled *

10. Project timeline (should not exceed one page, please attach) Attached: *

Upload File for Question 10 *

Max file size: 20MB

11. Itemized project budget by quarter. Please identify budget items that are related to COVID-19. Attached: *

Upload File for Question 11 *

Max file size: 20MB

12. List of grants received and other funding applications that are still pending decision for this project. *

13. Provide a balance sheet and audited statement of revenue and expense for the most recent completed year. Attached: *

Max file size: 20MB

14. Has your organization applied for a grant from us in the past? Please answer with Yes or No, If Yes, please state which year(s). *

SECTION D: Summary Of Charity Organization

15. Please provide a one page summary of the charity organization's activities (ie. a summary taken from your last annual report). *

Upload File for Question 15 *

Max file size: 20MB

By signing this application, the Applicant agrees to the terms outlined above.

Organization Name and Charitable Registration Number *

Contact Signature *

Date *

Submit