NOTE: THIS IS A SAMPLE OF THE QUESTIONS APPLICANTS WILL FIND IN THE 2012 APPLICATION. ON NOVEMBER 1 st, THE 2012 GRANT APPLICATION WILL BE AVAILABLE VIA OUR NEW ONLINE GRANTING SYSTEM. IN ORDER TO BE ELIGIBLE, ALL SUBMISSIONS MUST BE MADE THROUGH THE NEW ONLINE PLATFORM. JAYS CARE FOUNDATION GRAND SLAM GRANTS PROGRAM APPLICATION FOR FUNDING Please ensure that you have read the Application Guidelines in full prior to submitting your Application for Funding. Thank you! Date of Application: 2012 Grand Slam Grant Application ADDRESS AND CONTACT INFORMATION: Organization Name: Project Name: Registered Charitable / Non-profit Status: (Please check the one that applies) A. Registered Charitable organization Charitable Registration Number: B. Incorporated not-for-profit entity Year of incorporation: C. Unincorporated organization with an affiliation with a registered charity or non-profit organization (Affiliated Registered Charity: ) Contact Name: Contact Title: Address: Telephone: Email: Website: JCF GRANT APPLICATION Page 1 of 5
A1. CATEGORIZATION OF FUNDS Total amount of Jays Care Foundation funding requested: $ Indicate the area/s of the JCF mission that your proposal addresses: Physical Activity Educational Initiatives Life Skill Development Please indicate previous applications for funding from Jays Care Foundation: Date of Application Status (AWARDED/DECLINED) Amount A2. ORGANIZATIONAL OVERVIEW State your organization s mission and mandate (100 words): Provide a brief description of your organization s history (100 words): Describe your organization s primary programs/services and indicate the primary audience for each program/service: Programs/services (25-30 words) Primary Audience (demographic, needs, etc) 1. 2. 3. 4. 5. Total Organization Budget: Budget Breakdown: Programs: - Service Delivery: - Advocacy/Awareness: Fundraising: Administration: A3. TARGET AUDIENCE How many people does your organization reach or serve in each of the following categories? 0-4years old 20-24 years old 5-12years old 25-55 years old 13-19 years old 55 years old + JCF GRAND SLAM GRANT APPLICATION Page 2 of 5
NB: include information such as number of people using your services; number of people attending an event but avoid duplication. For instance, if you offer a program in which people participate regularly only indicate the number of different people reached. A4. STAFF INVOLVEMENT Indicate the number of staff: Number of Full-time staff: Number of Part-time staff: Management team and program staff (List up to FIVE key individuals at the charity/non-profit): Name Job Title Years of experience with the charity/non-profit and in the related industry A5. VOLUNTEER INVOLVEMENT Indicate the number of active volunteers that contribute to your organization: Children Youth Adults Seniors Total Volunteer Base: Total number of volunteer hours (this year): How does your organization actively engage children and youth in the planning and execution of your organizational activities or programs? (100 words) What screening policies and procedures are in place around volunteer engagement? (100 words) B1. STRATEGIC RELATIONSHIPS AND LONG-TERM PARTNERSHIPS List any groups, organizations or corporations that your organization works with in the community (i.e. other charities, corporate sponsors, social service organizations, school boards, City officials, etc.) Name of Community Partner Nature of the Partnership (up to 100 characters) Explain how your organization demonstrates collaboration with a few key community partners to achieve greater sustainability, greater reach, and shared knowledge (250 words): C1. PROGRAM / PROJECT SPECIFICS PROGRAM / PROJECT DESCRIPTION Provide a concise description of the program / project for which funding from the Jays Care Foundation will be used. (300 words) JCF GRAND SLAM GRANT APPLICATION Page 3 of 5
PROGRAM / PROJECT INFORMATION - Target Audience o Which geographic area(s) will the program/project serve? (50 words) o Tell us about the community that this program/project serves (i.e. Priority neighbourhood; First Nations community). What challenges does it face? (150 words) o Age of the children/youth served from program/project - What key issue(s) and /or need(s) does this initiative address? (200 words) - How long has the program/project been in existence? - What are the results/achievements of the program/project to date? (100 words) - What makes this program/project unique? (150 words) - Investment in each child/youth o Length of the program (weeks) o Program hours per child/youth o Frequency of services (number of interactions per week / per month) - Total children/youth served from program/project GOAL OF THE PROGRAM / PROJECT (250 words) - What is the goal of your program/project? Please include: o Outcomes (short-term) o Impact o Future goals (i.e. anticipated growth; improvements to the program)? WORK PLAN - Jays Care Foundation would like to develop a clear understanding as to how your organization is going to carry out the program/project. Please complete the below work plan to demonstrate how your organization will accomplish all phases of the program/project (i.e. key milestones). What metrics are in place to measure success (i.e. performance indicators)? *Key Milestones (What) *Activities (How) *Team Members Responsible (Who) *Performance Indicator (include a brief description) PROGRAM / PROJECT FUNDING - What is the specific purpose of the funds requested? (250 words) - Funding sources for this program/project: Proposed Program/ Project Budget Total Cost of the Program/Project Total Funds Secured to date Total Jays Care Foundation Request Amount JCF GRAND SLAM GRANT APPLICATION Page 4 of 5
Status of other funding and outstanding applications for the proposed project: Funding Source Type (cash or inkind donations which may include materials, services, labour, etc.) Amount Confirmed (Yes/ No) If no, anticipated decision date *UPDATE Jays Care Foundation if your organization s funding landscape changes ACTIVATION OF THE PARTNERSHIP WITH JAYS CARE FOUNDATION - What volunteer opportunities exist for employees of Jays Care Foundation, Toronto Blue Jays and Rogers with the program/project? (150 words) - Jays Care Foundation places significant focus on being engaged with all of its grant partners. What ways does your organization envision collaborating with Jays Care Foundation? Provide a few examples (150 words) - If awarded this grant, how would your organization demonstrate accountability throughout the lifecycle of the grant (i.e. communicate the impact of the funds; measure the use of funds; etc)? (150 words) - How will Jays Care Foundation be recognized? (150 words) D1. FINANCIAL STATEMENT & SUPPORTING MATERIALS CHECKLIST Provide an itemized breakdown of your organizational budget and project specific budget. Provide a copy of the T3010A Registered Charity Information Return from Canada Revenue Agency. Provide a copy of the organization s most recent Audited Financial Statements. Provide a complete listing of current Board of Directors with respective titles, contact information and length of tenure. Provide a current Annual Report, if available. Provide 3 (three) recommendation/support letters from other organizations and or individuals you are currently working with or have worked with in the past. This may include one or two parents whose children have participated in your programs. Provide a copy of your organization s program guide or brochure JCF GRAND SLAM GRANT APPLICATION Page 5 of 5