George Ross Medium & Large Project Application

George Ross Application

Medium & Large Projects
Have you been invited to submit an application for this particular project? *

Yes No
Designated Metro Vancouver Contact Person: *
A. Project Category
Project Category *
2022 Deadlines: Spring: Friday, May 6th Fall: Friday, October 14th
B. General Information
Organization Name *
Organization Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address *
example@example.com
Phone Number *
Website URL
Brief Description of Organization *
In order to qualify for Large Projects, park partners must be a registered non-profit society in good standing and/or a park association.
Society Registration Number:
Date Registered as a Society:

Month Day Year
Date
Does the society have charitable status?

Yes No
If yes, provide Charitable Number:
Note: Being a registered charity is not a requirement for either the Large or Medium Projects.
C. Primary Contact
Name *

First Name Last Name
Title/Position *
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
D. Secondary Contact
Name *

First Name Last Name
Title/Position *
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
E. Project Information
Project Title *
Amount Requested *
FOR LARGE PROJECTS ONLY: If requesting two years of funding, indicate amount each year for up to $10,000 per year for a maximum total of $20,000:
Metro Vancouver Regional Park or Regional Greenway in which your project will take place: *
Proposed Start Date *

Month Day Year
Date
Proposed End Date *

Month Day Year
Date
Do you have general liability insurance? (some projects may require liability insurance) *

Yes No
Project Description *
What are the objectives of your project? *
How will this project benefit the Regional Park or Regional Greenway? How will it contribute to the improvement of the region’s ecological health? *
How will the funds be used? *
Provide a project work plan and timeline (e.g. what are the steps to complete project, what is the timeline for each step, who will be doing the work, what other resources do you require). For large projects, if you are requesting two year funding break the project down into two phases (Year 1 and Year 2): *
List any organizations that will be involved in this project, and the role they will play. *
How will you involve volunteers in your project, and how many? *
Will any long-term maintenance be needed after the project is completed? If so, indicate the maintenance requirements and how you will address them. *
If you are planning to do follow-up monitoring, please describe your activities. *
Could this project proceed without the funds from this project? If not, why not? *
Do you have funds that you could contribute to this project? *
How will you acknowledge the contribution of Pacific Parklands Foundation and Metro Vancouver Regional Parks in your advertising, communication, and promotional material? *
F. Project Budget

*Year 2 amount requested only applies to large projects requesting 2-year funding

Expenses

	Itemize	Total Cost	Year 1	Year 2	Cash	In Kind	Funding Source
Contracted Equipment or Special Expertise
Supplies & Materials
Plants
Equipment Rental
Administration and staff wages (Large project only, up to 10% of funds awarded through this program).
Other Project Costs
Total Expenses
Revenue Subtotals
Total Revenue (Amount Requested + Cash + In Kind)

*Other funding sources: The Pacific Parklands Foundation is a registered charity and can receive projects and donations for projects that fulfill our mission. Please inquire about opportunities for fundraising partnerships.
Attachment Checklist. Please Attach Below. *

Current list of Board of Directors and Executive For incorporated societies, a copy of your most recent financial statement Any additional supporting documentation that may help to assess your application, including letters of reference, testimonials, site plans, plant lists, or photographs
File Upload

Cancel of
If you would like someone to review your application before you submit it, or if you have any questions about the process, please contact your designated Metro Vancouver contact person at least two weeks before the application deadline. If you have any questions about the application process, please contact your Designated Metro Vancouver Contact Person.
G. Certification
Name *

First Name Last Name
Signature *

Clear
Date *

Month Day Year
Date
How did you hear about George Ross Legacy Projects? *
Website, Google Search, Colleague, Park Society, Etc.
Should be Empty:

George Ross Application

A. Project Category

B. General Information

C. Primary Contact

D. Secondary Contact

E. Project Information

F. Project Budget

*Other funding sources: The Pacific Parklands Foundation is a registered charity and can receive projects and donations for projects that fulfill our mission. Please inquire about opportunities for fundraising partnerships.

G. Certification