CRRF COMMUNITY MOBILIZATION FUND

Application Form

Our goal is to make this application process simple and easy to complete.

This application form has five sections:

Section 1: Contact information

Section 2: About Your Organization

Section 3: Project Information

Section 4: Grant Request, Budget & Financial Information

Section 5: Authorization & Declarations

In total, this application should take approximately 30 minutes to complete.

As you prepare your application, please note the Canadian Race Relations Foundation is required to hold an open, impartial and fair selection and assessment process to fund projects. The information you provide in this document will be used by local reviewers in their evaluation as they make funding decisions according to the criteria above.

Contact information

Is your organization’s mission and mandate to deliver programs or services at a provincial, territorial or national level?

Provincial

Territorial

National

Lead applicant name

Whom should we contact with any questions about your application?

First name

Last Name

Title

Email

Phone Number

Extension

How did you hear about this grant opportunity? (500 chars left)

Please indicate any of your organization's successes in the past 3 years. (500 chars left)

With this funding, can you continue to build on them? (500 chars left)

Section 2: About Your Organization

Organization Name

Business Address

City / Town / Community

Province / Territory

Postal Code

Organization Type

Charitable number, if applicable

Every registered charity or qualified donee has a webpage on the CRA website. Please include the URL web link found on the CRA website for your organization.

Please describe the mission and main activities of your organization. (Max 200 words) (1000 chars left)

Do you have a digital platform? Please list your social handles here (Facebook, Instagram, Twitter, Website, other)

Facebook

Instagram

Twitter

Organization Website

Other

Are you applying in collaboration with other community partners to deliver the project? Yes No

Please name the collaborating organizations and their roles with the program. (2500 chars left)

Section 3: Project Information

Project title

Summarize your project. (500 word max) (2500 chars left)

How does this project address our program objectives?
Your answer should cover all of the following: the project objectives and the activities to be funded; how the project fills a gap or meets an identified need; and how the project outcomes will benefit the community. (50-500 words) (2500 chars left)

How will your organization reach the populations/communities that you wish to serve? Please speak to specific outreach strategies. (50-500 words) (2500 chars left)

Are individuals representative of the population(s) you are seeking to serve and how will they be involved in the decision-making and delivery of your project/initiative? (50-500 words) (2500 chars left)

This project primarily serves community members of the following vulnerable group(s) [List up to three groups] (1000 chars left)

What is the start date of your project activities?

What is the end date of your project activities?

The activities and expenses supported by this grant must be spent prior to March 31, 2022.

In which area(s) is the project primarily taking place? (2500 chars left)

Is your project being primarily delivered in the same location as where your organization is located? Yes No

What City/Town/Community will the project be delivered?
Specify all project locations. (500 chars left)

In which Province/Territory will the project primarily take place?

If there is any supplementary material you would like to upload for the reviewers, please do so here (PDFs and Word Documents)

Section 4: Grant Request, Budget

Requested grant amount

Will your project/program continue if you are awarded a smaller grant? Yes No

Upload project budget (Mandatory)

Please ensure that your budget accounts for the full amount of the grant that you have requested. All budget items must be project-related and must be incurred during the grant period (January 2, 2020 - March 31, 2021).

Eligible expenditures include: wages and benefits, professional fees, travel and accommodations, materials and supplies, printing and communication, equipment rental/lease/maintenance, administration costs, and disability support for staff.

Ineligible expenditures include: purchase of real property (land or buildings). Specific costs and expenses covered by this grant cannot also be funded by other sources of funding.

Note that funds received through this program can not be used to generate a profit or an income in excess of project expenses for the recipient organization.

Section 5: Authorization & Declarations

Authorization: Recipient Community Organization

By completing this section, the applicant confirms that the Recipient Community Organization is a qualified donee and is supportive of this grant application.

You have appropriate signing authority to submit this proposal on behalf of the organization.

Signature

Upon submission, your application will be shared with the CRRF for review.