Form for Priorities Submissions

Victoria Family Court and Youth Justice Committee

Form for Priorities Submissions (Grants and extraordinary committee expenses)

Please send your submission to Councillorday@shaw.ca AND vfamcourt@gmail.com for distribution

1. Date of Application:
2. Name of organization / person(s) applying: Contact person for follow-up:
3. Background of organization / person(s) or applicable history of related projects:
4. Clear goals and objectives of the project – clear indications of relevance to the Family Court and Youth Justice Committee mandate:
5. Any features of the project you believe are pertinent to this application:
6. Will the project dovetail with other similar work? (ie. in the Greater Victoria area or within your organization)
7. Budget: to include clear accounting with potential line items and accompanying narrative, please include funding from other sources and feel free to attach a spreadsheet if needed:
8. Other funding avenues/partners being explored:
9. Catchment area served – target population:
10. Needs/problems to be addressed through the project work:
11. Deliverables (goods and services to be provided):
12. Timeframes (eg. Intended start date of project, length of time from start of project to deliverables, one time project or on-going?)
13. Evaluation framework (How will you know if your project has been a success and how will the Family Court Committee know?)
14. Would you be able to present to the committee upon completion of your project?

This form is intended for your convenience and that of the FCYJC. Please use it for your submission and as a guide.

(Form updated; Jan, 2014(C. Day)