Community Development Grant Application

Community Development Grant Application
GENERAL INFORMATION
Project Name
Name of Lead Contact:

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
ABOUT YOUR GROUP/ORGANIZATION
Name of your group or organization:
How is your group organized?
(For example, do you have a committee? Is there a coordinator? Are you a non-profit group? Are you an informal group of neighbours?
Please provide information on other key individuals, groups or organizations that will be involved in your project.
ABOUT YOUR PROJECT
Please describe your project:
Please describe your plan to make your project happen, including a general schedule of activities or tasks necessary for completion including timelines.
Please indicate which of the 5 pillars of the City of Miramichi Strategic Plan 2021-2025 does your project support? Check all that apply.
Please provide details of how your project supports the identified pillars above:
Do activities occur within Miramichi City limits?
Where does your project occur?
Is your project a one-time project?
Is your project intended for a city-wide audience?
Please describe how you intend to reach out to involve a diverse range of community members:
Expenses Information
EXPENSES: Please provide a list of all expenses and expected amounts below:
E.g. Artist Fee - $3000
Total of All Expenses:
Group/Organization Matching Contribution
VOLUNTEER LABOUR: Please describe how you plan to match the value of your grant. (This includes your own cash contribution, donations, sponsorships, fundraising, in-kind services and volunteer time.)
E.g. Volunteer labour at 3 workshops x2 hours x 10 people= 60 hours x$15/hr = $900
Total Value of Volunteer Labour:
IN-KIND DONATIONS/SERVICES: Please list all In-Kind Donations/Services and their respective values:
e.g. Excavation service - ABC Excavators - $500
Total of In-Kind Donations/Services:
CASH SUPPORT: Please list all cash support; be sure to list all other sources such as expected revenues, donations, sponsorships, grants and fundraising:
*Do not include funds requested from City.
Total Cash Support:
BUDGET SUMMARY

Please provide the budget summary totals to complete your application.
Total of All Expenses:
Total of Matching Contribution. Add totals of Volunteer Labour + In-Kind Donations/Services + Cash Support:
YOUR REQUEST FROM COMMUNITY DEVELOPMENT GRANT
Please note: amount requested cannot exceed $4,000 and you cannot request more than the total of all expenses.
I understand the amount requested CANNOT exceed $4,000
I understand the requested amount CANNOT be more than the total of all expenses.
Should be Empty:

Community Development Grant Application

GENERAL INFORMATION

ABOUT YOUR GROUP/ORGANIZATION

ABOUT YOUR PROJECT

Expenses Information

Group/Organization Matching Contribution

BUDGET SUMMARY