GWL CSC Micro-Grant Application

CSC Micro-Grant Application
Girls Who Leap: Lead To Empower & Act with Purpose Society is excited to announce an incredible opportunity for our youth to showcase their leadership skills and continue their altruism that is the corner stone of our GWL pillars. Over the next few years, we will be supporting 90 micro-grants funded in part by Canada Service Corps, a national movement that empowers youth aged 12–30 to gain experience and build important skills while giving back to their community. Learn more at Canada.ca/CanadaServiceCorps.

Application Deadlines:
December 31st (Q1 Projects between Jan 1-Mar 31)
March 31st (Q2 Projects between April 1-June 30)
June 30th (Q3 Projects between July 1-Aug 31)
August 31st (Q4 Projects between Sept 1-Dec 31)

Important Project Requirements:
(1) If you are under the age of 18, the project must have an adult sponsor or partner organization and funds may be provided through the adult sponsor/partnering organization
(2) Microgrants are $2,500.00 in value; all receipts (either original or scanned copies) must be kept and provided to Girls Who LEAP
(3) All projects must complete an interim report and a final impact report. The interim report can be completed any time between the start to the mid-point of the project.
(4) $1,875.00 (75%) of the $2,500.00 will be provided following completion of the interim report; the remaining $650.00 (25%) will be provided following completion of the final impact report. Should your community project require up-front payment for goods/services, Girls Who LEAP can cover these costs directly.
A. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Phone Number*
Email *
Home Address*

Street Address

Unit or Apartment #

CityProvince

Postal Code
B. Adult Sponsor or Community Partner Organization

If you are a youth community member (under 18 years of age), please provide information about your adult project sponsor or partner organization (e.g. person's full name, person's role, name of partner organization, contact information).
Adult Sponsor Full Name

First NameLast Name
Partner Organization
Name of Organization
Role / Position
Role within partner organization (if applicable - ie. Youth Worker)
Sponsor Email
Sponsor Phone Number
C. Project Information
Name of Project*
Project Description*

0/300
When?*
When is your project start date and end date?
Where? *
Where will your project take place?
Who?*
Who is your target group? (ie. elementary age, seniors/elders) How many people does your project hope to reach for participants and/or volunteers?
What?*
What will your project create or accomplish? Please describe the specific activities, events, or resources you will deliver and explain the impact they will have on your community."
Why?*
What is your project 'why'? In other words, what is the purpose or driving force behind your community project?
D. Project Budget

Please provide a high level budget for your project. You do not need to know every little detail of the project, but this will help us understand that you will be able to use the full amount of the $2,500 micro-grant.
Budget Breakdown*
For example: Rental of carnival equipment: $1200, Pizza and drinks: $1000, Printing for posters and handouts: $100, Balloon artist: $150, Craft station: $50
Reimbursement Options (check all that applies)*

Issue cheque to Applicant (over 18)Issue cheque to Partner Organization/Adult Sponsor (under 18)Pay company vendors directlyI may need help purchasing items with a credit cardOther
Who should the cheque be made out to?*
E. Additional Info
Please summarize your project in 2-3 sentences.*
Is there anything else you would like us to know about your community project?
F. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you will abide by terms and conditions set forth by CSC and GWL Code of Conduct.

An email confirmation will be sent when this application is submitted.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

CSC Micro-Grant Application

A. Personal Data

B. Adult Sponsor or Community Partner Organization

C. Project Information

D. Project Budget

E. Additional Info

F. Applicant's E-Signature