RAcialized Youth Innovation (RAYI) Micro Granting Application
Please complete the form below and provide as much detail as possible.
Are you a returning applicant?
*
Yes
No
Group Info
Name of youth group/organization.
*
Are you a registered youth organization?
*
Yes
No
Describe your group.
*
Are you currently working with an organization?
*
Yes
No
If so, which organization?
Contact
Provide a primary and secondary contact
Full Name
*
Contact (1)
Full Name
*
Contact (2)
Title
Contact (1)
Title
Contact (2)
Email
*
example@example.com
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age range
*
Please Select
15-19
20-24
25-30
For primary applicant
Education Level
Please Select
No certificate, diploma or degree
Secondary (high) school diploma or equivalency certificate
Apprenticeship or trades certificate of diploma
College, CEGEP or other non-university certificate or diploma
University certificate or diploma below bachelor level
University certificate, diploma or degree at bachelor level or above
For primary applicant
Do you identify as a Visible Minority or are you from a Racialized Group?
*
Yes
No
Do you identify as an Indigenous?
Yes
No
Do you identify as a person with disability?
*
Yes
No
Are you currently employed or in school?
Employed
In School
Project
Name of your initiative/Project.
*
Project start date
*
-
Month
-
Day
Year
Date
Project end date
*
-
Month
-
Day
Year
Date
Summary of the initiative. (To be used on 3CA's project portal for listing)
*
3 sentences max.
Describe the proposed initiative.
*
Outline the initiative in detail. 500 words Max.
0/500
Share past project work. ( if applicable)
How many youths will be served through your proposed initiative?
*
What is the focus area of the project?
*
Preserving the Environment
Promoting Civic and Democratic Engagement
Strengthening Youth Resilience
Describe how the project aligns with the chosen area of focus.
*
0/300
Explain what you anticipate the project outcome to be.
*
0/200
Project activities
*
Grant
Amount requested.
*
Total Budget for the project.
*
If not approved for the requested amount, will the group still be able to implement the project?
*
Yes
No
If so, how much will you need to implement the project?
*
Tell us your what is your minimum expenditure that will allow you to implement your project.
Budget Template
*
Project Reporting
Reporting Requirements
*
Rows
Metrics
Remarks
Total number of beneficiaries
Number of beneficiaries from racialized backgrounds
Additional Documents (if applicable).
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