QPIRG-Concordia Discretionary Funding Application Form

The personal information you provide on this form will be used solely to assess your eligibility for discretionary funding at QPIRG Concordia. Your data will be stored securely and accessed only by authorized staff.

FUNDING GUIDELINES

QPIRG Concordia funds projects that align with our mandate and fulfill some or all of the following criteria:

Engage in solidarity organizing by people who are directly affected or implicated in the group’s mandate or issue; or at least that take leadership and direction from the communities with which they work
Support local actions, projects or movements, or local connections to global movements
Organize around issues of social and environmental justice, particularly on issues that are under-represented at QPIRG Concordia or Concordia University and that embody values or approaches such as mutual aid, providing material support, direct action, intersectionality and systemic change.
Will actively create campus-community links and will engage with Concordia University students
Need access to QPIRG’s resources and funding, and might otherwise have difficulty finding support (for example requests from large non-profits or bigger student associations with access to other university funds may be less prioritized than more grassroots projects)

We generally prioritize:

Direct actions
Mutual aid, creating or providing resources to marginalized communities
Popular education events or series
Projects that are filling an unmet need or niche in a community (ex. this space or service doesn't exist anywhere in the city)

We generally do NOT prioritize:

Funding to cover plane tickets
Projects that give school credit (class projects, conferences, panels, thesis research etc.)
Art and films unless EXPLICITLY political/ social justice focused
Markets and for-profit event
Parties or any events that are primarily social events
Any application that does not clearly explain how it connects to our values and mandate
Projects where the majority of the budget is allocated to paying the coordinator

We do not provide discretionary funding for:

Major capital expenses (i.e. equipment that retains value from year to year such as computers etc)
Personal case support (for example rent, medical fundraisers).
For personal support resources please contact us at info@qpirgconcordia.org to talk to a staff member. For legal fees, please apply to our legal fund.

About the application process:

FORMAT: Answers can be paragraphs, full sentences, bullet points or a list, etc.

MEDIUM: Applications may be submitted via this form or sent in writing (.doc or PDF format), audio (mp3 or wav format) or video (mp4 format) to discretionary@qpirgconcordia.org.

ASSISTANCE: If you need assistance in completing this form, please contact a staff member by email (discretionary@qpirgconcordia.org), phone (514-848-7585), or in person during our office hours (Monday to Thursday, 12pm to 6pm).

DEADLINE: Discretionary fund applications submitted more than 24 hours prior to a board meeting will be guaranteed a spot on that meeting’s agenda; applications received with less time than that will be considered at that board meeting only with time permitting.

Please contact a staff person to find out when our next board meeting will be taking place. Board meetings currently take place once per month.

What is your email address?*

example@example.com

Have you fully read our funding guidelines and mandate?*

YES

Date of application*

Date

Name (project, organization and/or individual applying)*

Phone Number*

Please enter a valid phone number.

Date(s) of event(s)(NOTE: funding can be retroactive) *

Describe your organization, group, or collective (if applicable)*

Is your group or project part of a larger organization or network? If YES, briefly explain the nature of that connection.

Are you collaborating with other groups on this project? If so, which ones?*

Describe the project or event you are requesting funding for (if different from above)*

How does this fit with QPIRG's mandate, values and priorities? (as described in the funding guidelines)*

Will you be engaging with marginalized communities, including those you're a part of? If so, roughly how many people might participate and which specific communities do you plan to reach out to?*

Please provide a link to your project or organizations website, social media etc (if you have it)

Please attach any promotional materials or graphics for this project/event

Is your event solely or primarily a fundraiser for another group or cause? If yes, please explain how you expect to raise more for your cause than the event costs.

Is your group a working group of QPIRG Concordia? If YES, have you used up all of your working group budget first? If you have not used your funding, why are you applying for discretionary funding now?

Is a major portion of your budget for travel related expenses? If YES, please explain why it should be funded and cannot be done locally or virtually.

Would you also like non-monetary support, such as printing, using our space for your event, help with promotion etc?

Will you be able to record your event and provide us with a copy that we could make available through our alternative library or website? (Note: this is not a requirement to receive funding)

YESNO

Would you be interested in collaborating with QPIRG on future events? If yes, please describe types of events you may be interested in doing. (Note: this is not a requirement to receive funding)

If you are granted discretionary funds, are you able to include QPIRG’s logo on your publicity materials (available on our website)?

YESNO

Project Budget Details

The amount you are requesting from QPIRG(MAXIMUM $700)*

Please provide a project budget below or email a budget document to discretionary@qpirgconcordia.org

For Example of project budget, refer to the PDF below
PDF Example of Discretionary Project Budget

Be sure to include a breakdown of expected revenues and expense. If the QPIRG funding will be allocated to a specific expense, please indicate which one.

Budget for the project or event:*

Where else you have applied for funding, and what have you received so far (we encourage groups to diversify their request to increase networking)*

Full Name (EXACTLY AS IT SHOULD APPEAR ON THE CHEQUE)*

Preferred name, if different

Address of cheque recipient (mandatory for our financial records)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you like the cheque mailed or to pick it up from our office?*

Mail the chequePick up the cheque

Other comments or questions about any part of this application?

QPIRG Concordia Discretionary Funding

Form

Project-Specific Questions