Fillable COMMUNITY GRANTS UNDER $1000 APPLICATION for FOOD FOR (Dufferin County)

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COMMUNITY GRANTS UNDER $1000 APPLICATION for FOOD FOR (Dufferin County)

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This form is used for the Food for Thought Grant program, supporting organizations in providing
direct food services to Dufferin residents and for the Dufferin County Community Grants, for
organizations seeking funding of less than $1,000.
Requirements Checklist and other information for Applicants:
Applicants must be a school, registered not-for-profit or charitable organization, or partnered
with one, and not a municipality.
Project or organization cannot already be supported by the County of Dufferin.
Projects must benefit Dufferin County residents.
Funding requests are limited to one application per organization.
This is a competitive process. Overall funding allocation may be decreased, and funding
requested by organizations may be granted in full, in part or declined, at the discretion of the
assessment committee.
Grant applications are assessed by a committee created and managed by Headwaters
Communities In Action. The committee has multi-sectoral representation, a solid knowledge of
Dufferin County, an analytic skill set and a collaborative approach.
A red asterisk (*) indicates a mandatory field that must be completed.
Please mind word count limits in all responses.
Reporting Requirements for Successful Grant Recipients:
After project completion, or by November 30, 2021, you will be asked to publish or submit a
report sharing your story of how the Dufferin County Community Grant or Food For Thought
Grant benefitted the community, with a photo and a minimum of 250 words outlining the
program, impacts of the project and grant, quotes from beneficiaries and coordinators of the
program, and contact information.
Organizations may also be subject to a project review, and required to submit invoices and
proof of payment for goods and services. Please keep these records on hand.
CORPORATION OF THE COUNTY OF DUFFERIN
Corporate Services (Clerk’s office)
30 Centre Street, Orangeville ON L9W 2X1
Phone: (519) 941-2816
Fax: (519) 941-4565
Email: info@dufferincounty.ca
Web Site: www.dufferincounty.ca
APPLICATION for FOOD FOR THOUGHT GRANTS up to $3,000 or
COMMUNITY GRANTS UNDER $1000
Deadline: February 12, 2021
County of Dufferin Application for Grant Funding
2
Eligible Expenses:
• Purchase of goods and services in keeping with the aim of the project
• Advertising and Marketing
Ineligible Expenses:
• Overhead or administrative costs not related to the project
• Capital funding and infrastructure costs (i.e. that which depreciates, such as office furniture, fixtures,
etc.)
TELL US ABOUT THE APPLICANT *
Organization Name:
Mailing Address:
Website:
Primary Contact Details *
Contact Name
Title:
Phone:
Email:
Is your organization a school, registered not-for-profit or charity? *
Yes No
If "No", indicate if you have - or could establish - a partnership with a local registered charity
that would receive the funds for the project:
County of Dufferin Application for Grant Funding
3
TELL US ABOUT THE PROGRAM FUNDING NEEDS
Amount of Grant Request: * $
1. Outline the mission of your organization. * (max 200 words)
County of Dufferin Application for Grant Funding
4
2. Outline the purpose and objectives of the project/program for which you are requesting
funds. * Explain the purpose, method, individuals served, current funding and how the program is
staffed. (max 500 words)
County of Dufferin Application for Grant Funding
5
3. How will the community benefit from your program, and how does your program differ
from others offered to Dufferin County residents? * (max 500 words)
County of Dufferin Application for Grant Funding
6
4. Describe, in detail, how the grant funds will be allocated. * (max 500 words)
County of Dufferin Application for Grant Funding
7
5. If there are any other comments that you would like to include that may assist Council when
considering this application, please provide details here. (max 500 words)
The following question is for Food for Thought Grant applications only:
TELL US ABOUT YOUR ORGANIZATION'S DIRECT FOOD SERVICES PROGRAMS
Which of the following categories does your program address? * (You may select more than one)
FOOD ACCESS: food banks, mobile food programs, school or community nutrition services and
food-based catastrophe relief
NUTRITION EDUCATION: education and outreach programs that provide people with the
information and skills to provide healthier food for themselves and their families
FOOD NOURISHING: initiatives that establish a reliable supply of nutritious food and promote
self-sufficiency
County of Dufferin Application for Grant Funding
8
Question 5 continued space if needed:
Please note the Submit Form button functions best in the Internet Explorer browser.
Applications can also be submitted to info@dufferincounty.ca
or the County of Dufferin Community Services
office in person at: 30 Centre Street, Orangeville, ON L9W 2X1
The personal information on this form is collected under the authority of the Municipal Act and will be used to
determine your eligibility for the community grant program. Headwaters Communities in Action (HCIA) administers
the community grant program in partnership with Dufferin County and information collected on this form will be
shared with them. Questions about this collection should be directed to the Clerk at 519-941-2816 x 2504, 30 Centre
Street, Orangeville.
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COMMUNITY GRANTS UNDER $1000 APPLICATION for FOOD FOR (Dufferin County)

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Completed 8 April 2021

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