GCF #GreenMyCity Program Application Form

PROGRAM APPLICATION FORM

Green Cities Foundation #GreenMyCity
Grant recipients obligations:

The #GreenMyCity program and grant opportunity will fund up to 50% (cash and/or in-kind labour/material donations) of green space improvements within your project. Each project will be evaluated on its own merit and based on its ability to fulfill our mission.

A celebratory activity/event and photos/videos are expectations for the grant recipients: this activity/event may be incorporated into a regularly planned event or a “stand alone” activity/event: guidelines and suggestions will be provided by Green Cities Foundation.

Social media posts using the #GreenMyCity program and tagging @gcfoundation are expected to help promote the project.

Applications will be reviewed and awarded based on its ability to fulfill our mission, and on a first come, first served basis.

Each recipient of a grant will receive a Green Cities Foundation digital sign to print and install to recognize their project’s grant.
Do you agree to install such a sign, and share photos/videos of the project?*

YesNo
How did you hear about this program?*

PROGRAM APPLICATION FORM

Green Cities Foundation #GreenMyCity
Primary Contact Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
E-Mail Address*
example@example.com
Group Information
Name of the group, organization, municipality, or community entity*
Is your group, organization, municipality or community entity able to receive funds via direct deposit? Please note that grant payments cannot be issued to personal bank accounts.*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
E-Mail Address*
example@example.com
Proposed Site Information
Name of Project*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Municipality*
Land Type*

4. Project Support Information

In this section please provide a summary of your project while answering each question
a) What is the level of local community support for this project?
b) Do you have support and involvement from your municipality, town council, other organizations or groups? Please indicate each involved including their contact information.
c) If Municipal, are you/your group a vetted municipal partner?

5. Budget Information

Please provide a project budget and material list along with your application form, outlining which items you have secured and which items you are looking for GCF funding towards.
Please note that we do not fund expenses for human resources.
Please upload a copy of your project budget.

Cancelof
Total Project Expense*
Total Funds Raised *
Total GCF Funding Request*
Please ensure that your funding request is equal or more than the funds that you have raised
Are you expecting to raise more funds for this project?

YesNo
If so, how much are you projecting?

6. Community Engagement Information
a) How many volunteers have you recruited for your project?
b) Are there other community groups involved, and a variety of age groups?
c) How will this project engage the community?
d) What will be the impact and long-term benefit of this engagement?
7. Fundraising & Donation Information
a) Tell us about your plans to raise funds to support your project.
b) How is the project going to develop community partnership with public and private supporters for the long-term sustainability of the project?
8. Project Sustainability Information
a) Green spaces require regular maintenance - how will your organization plan to sustain this project and keep it viable year after year?

TERMS AND CONDITIONS*
1. To use the funds only for the designated purpose as described in the grant application and subsequent grant notification letter and not for any other purpose without Green Cities Foundations prior written approval.

2. To notify Green Cities Foundations immediately of any change in (a) Organization’s legal or tax status, (b) Organization’s executive or key staff responsible for achieving the grant purposes, (c) Organization’s ability to expend the grant for the intended purpose, and (d) any expenditure from this grant for any purpose other than those for which the grant was intended.

3. To not expend any grant funds for any political or lobbying activity or for any purpose other than the one specified in this application.

4. To allow Green Cities Foundation to review and approve the content of any proposed publicity concerning this grant prior to its release and to recognize Green Cities Foundation in all publicity materials related to the funded project or program, as specified in the grant notification letter.

5. To allow Green Cities Foundation to include information about this grant in Green Cities Foundations e-newsletter, annual reports, news releases, social media postings, and website. This includes the amount and purpose of the grant, any photographs you have provided, your logo or trademark, and other information and materials about your organization and its activities.

6. To submit a written report summarizing the project promptly following the end of the period during which you are to use all grant funds and to submit any interim reports that Green Cities Foundation may require. Your reports should describe your progress in achieving the purposes of the grant and include a detailed accounting of the use and expenditure of grant funds.

Green Cities Foundation reserves the right to discontinue, modify or withhold any payments under this grant award or to require a total or partial refund of any grant funds if, in Green Cities Foundations sole discretion, such action is necessary: (a) because you have not fully complied with the terms and conditions of this grant; (b) to protect the purpose and objectives of the grant or any other charitable activities of Green Cities Foundation; or (c) to comply with the requirements of any law or regulation applicable to you, Green Cities Foundation, or this grant.
I acknowledge the terms and conditions.*

YesNo
Name
Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

	New Project	Revitalization	Comments
Garden/Flower Bed
Habitat Restoration
Sports Field
Park
School Ground/Playground
Green Space
Landscaping Improvements
Other

PROGRAM APPLICATION FORM

PROGRAM APPLICATION FORM

Primary Contact Information

Group Information

Proposed Site Information

Project Summary Information

4. Project Support Information

5. Budget Information

6. Community Engagement Information

7. Fundraising & Donation Information

8. Project Sustainability Information

TERMS AND CONDITIONS*