Grant Application - Part A
Instructions
To complete this application, please fill out all required fields below. Click the "submit" button at the bottom of the page after you have finished entering all your information.
Legal Name of Organization
*
Registered Charity Number
*
Contact Person and Title
*
Principal Administrative Office Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail
*
Website
*
Phone Number
*
-
Area Code
Phone Number
Fax
*
-
Area Code
Phone Number
Major Funding Category
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Spay/Neuter Initiative
Adoption Program
Guardianship Education
Emergency Medical Treatment
Other Animal Welfare Initiative
Project Name (if applicable)
*
Is this grant needed for an emergency situation?
Yes
No
Purpose of Grant (answer in box below)
*Please value our time and yours. Remember that The Foundation will consider applications from rescues with respect to emergency veterinary medical and physical care in extenuating circumstances (for example: breeding mill closures, hoarding and animal abuse situations and situations that fall outside a rescue's normal intake commitments where a rescue may not otherwise be able to help due to financial restrictions), as well as applications for special projects such as spay/neuter programs, low income medical assistance, adoption programs and public education programs. *Please note that funding for routine vet care, accident or illness for animals already in rescue, or capital projects is not a type of support we can provide at this time.Contact us before submitting if you are unsure if your project qualifies.
Enter Purpose of grant here (one sentence)
*
Amount of Grant Request (answer below)
*We have limited funds available for grants. Historically, grant awards have ranged from $1000.00 to $5,000.00. The average award is $2,000.00. Please consider these limitations when making your request.
Enter Grant Request Amount Here
*
Total Project Cost
*
Current Annual Operating Budget
*
How did you hear about us?
*
Certification
By submitting this application to Four Feet Companion Foundation, I certify that this application has been made with the support of the Governing Board and Chief Executive of my organization.
Date
*
Electronic Signature
*
Grant Application - Narrative Part B
PLEASE KEEP YOUR PARAGRAPHS WITHIN THE SPECIFIED SIZE RESTRICTIONS LISTED BELOW. SIGNIFICANT INFORMATION MAY BE DELETED FROM YOUR REQUEST IF THESE LIMITS ARE NOT FOLLOWED!
Organization Information
Briefly summarize your organization’s history, mission, current programs and activities. Include an overview of your organizational structure, including board, staff and volunteer involvement. Please limit to 3-4 paragraphs or no more than 200 words.
Enter Organization Information here
Is the organization licensed with Alberta Gaming, Liquor and Cannabis ("AGLC")?
Yes
No
If the organization is licensed with AGLC, is it in good standing with AGLC?
Yes
No
Not applicable, it is not licensed with AGLC
If the organization is licensed with AGLC, does it have its own gaming bank account?
Yes
No
Not applicable, it is not licensed with AGLC
If the organization is licensed with AGLC, does it only conduct raffles with a ticket value of $20,000 or less?
Yes
No, it conducts other AGLC activities
Not applicable, it is not licensed with AGLC
Purpose of Grant
Describe the proposed program/project identifying the needs/problems to be addressed and how you will incorporate preventive and/or curative approaches to the problem. Identify project goals and objective and your timetable for implementation. Include information about the targeted population and your plans to avoid program duplication. Please limit to 4-5 paragraphs or no more than 300 words.
Enter Grant Purpose here
Evaluation
Describe your plan to document progress and results. How will you tell if the project is successful? Final evaluation and expenditure reports will be required for every grant awarded. Please limit to 3-4 paragraphs or no more than 200 words.
Enter Evaluation information here
Financial Information
Project/Program Budget
Include a detailed project/program budget that specifically outlines all funds that you are requesting.
Attach Program Budget here
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Future Funds
Indicate how the project/program will be funded in future years. Please limit to one paragraph or no more than 100 words.
Enter Future Funding information here
Grant Leverage
Will a grant be utilized to leverage other sources of financial support?
*
Yes
No
Other Funders
List other committed or potential funders and the amounts committed or requested for the program/project. Include public funds, individual contributions and other sources of income supporting the program/project. Please limit to one paragraph or no more than 100 words.
Enter Other Funding information here
Please provide any applicable attachments
Copies of estimates provided by outside vendors.
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of
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No outside estimates were necessary for this program/project
Current, board approved annual operating budget, including income and expenses.
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of
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An annual operating budget is not prepared for the organization.
Most recent audited annual financial statement.
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of
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An audited financial statement is not prepared for this organization.
Additional Information
List of your Board of Directors including names and contact information.
Enter Board of Directors information here
*
Awarding of Grants
All decisions on requests for annual grants will be reported to applicants no later than the last day of February or August. Emergency grant applications will be reviewed on an ongoing basis. Applicants whose proposals have been approved will receive a Letter of Agreement outlining the terms and conditions of the grant. An authorized organization official must sign and return the letter to us, thereby indicating acceptance of the terms and conditions of the award. This letter will also highlight arrangements for payment of the grant.
Responsibility of Recipient
The recipient of any grant from the Four Feet Companion Foundation must use the funds awarded for the specific purpose described in the grant application. We require that a detailed accounting of all funds along with a follow-up report be submitted no more than one year from the date of the award.
Date
*
Electronic Signature
*
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