ADVANCING EDUCATION FOR YOUTH Application Form

ADVANCING EDUCATION FOR YOUTH -- Application
Name of Registered Charitable Organization: *
Charitable Registration Number *
RR
0000
Year that charity was established and registered

Month Day Year
Date
Name and Title of Senior Staff Member
Mailing Address *

Street Address

Street Address Line 2

City Province

Postal Code
Primary Contact *

First Name Last Name
Email *
example@example.com
Website *
How did you find out about Saint John's Legacy Foundation? *
Applications may be emailed or mailed beginning in November with the final deadline of January 15th.

Preferred method of submitting applications: online or email to SJLFLegacy@gmail.com

By mail to: Saint John's Legacy Foundation, P.O. Box 47117 Edmonton Centre, Edmonton, AB T5J 4N1
Part 2 Descriptions
A. Who are you? Provide a brief background of your organization, its mandate and its services in 150 words or less *
B. Past Project. Describe in 200 words or less, a project that you believe your organization successfully completed. *
C. Where is the location of this project? *

Alberta British Columbia other area of Canada (specify below) outside of Canada (specify below)
Project location in Canada *
Project location outside of Canada
If the project is located outside of Canada: are your employees or volunteers directly involved?
If NO above, do you have an agency agreement in place?
Please attach agency agreement here

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D. Project Snapshot. Describe in less than 250 words, the need for the proposed or ongoing project. Who is permitted to take part in this project? *
E. Project Rationale --Why? Why should your organization take on this project? Are you in partnership with any other organization? If not, why not? (175 words or less) What is the local involvement with this project? *
F. Project Activities --How? Describe the activities to be undertaken and how the project relates to your existing programs or services and to your organization's mission (150 words or less) *
G. Project Outcomes --To What End? Describe the specific outcomes you are expecting. How will you know you have been successful? How will the community benefit? What particular needs will be met? Please answer in 250 words or less. *
Part 3A Funding of the Project
The total funding shown below (a), (b) and (c) must be at least 50% of the estimated cost of the project before the Trust Fund will consider making a grant.
a) Cash already raised locally      $*

b) Money pledged locally but not yet received   $*

c) Other funds from other sources committed   $*

d) Total cost of project   $*

e) Total amount requested from the Foundation   $*
Part 3B Other financial information required
Fiscal year from: *

Month Day Year
Date
To: *

Month Day Year
Date
Financial statements for last complete fiscal year attached *
Please upload recent financial statements here *

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Operating budget for year covering your application attached *
Please upload operating budget here. *

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Do you receive any government funding? *
If YES above, what is the percentage of government funding to your total revenue?
%
What is the percentage of revenue from individual donors? *
%
What is the percentage of revenue from other registered charities? *
%
Part 4 Signatures

At least two people from your organization must sign this application. It is preferred that one is the head/leader/pastor and the other is the primary contact.
Senior Staff Member/ Person in Charge *

Clear
Primary Contact *

Clear
Witness *

Clear
Date

Month Day Year
Date
By signing this application, the leaders of the organization are agreeing to allow the organization's name and relevant information to be used in the promotion and advertisement of this grant program.
*Successful applicants will be required to report on the outcome of the funded activity.
Should be Empty:

ADVANCING EDUCATION FOR YOUTH -- Application

Part 2 Descriptions

Part 3A Funding of the Project

Part 3B Other financial information required

Part 4 Signatures