Grant Application Form - Ocean Ambassadors Canada
Grant application from Ocean Ambassadors Canada for the 'PickUp3' project involving education about marine environment and trash removal.
Grant Application Form
Grant Applications must be received by the Town on or before March 1st of each year
Basic Information
For what type of grant are you applying?
Category: [X] Specific Project [ ] Special Event [ ] Program (annual operations)
Project / Event / Program Name & Description: Ocean Ambassadors will bring PickUp3, a fun and educational program to local beaches and parks and 4 days at the 2 elementary schools educating about PickUp3.
Grant amount applied for? $2,414 % of project/event/program budget 100% Date the project, activity, event or program will occur: May-Sept 2023
Has your organization ever received grant funding from the Town? [ ] Yes [X] No
- If yes, attach copies of printed material which acknowledged the financial support of the Town.
Has your organization received a permissive tax exemption from the Town? [ ] Yes [X] No
- If yes, in what year(s)? ____________________
Does your organization issue grants to other organizations? [ ] Yes [X] No
- If yes, you must demonstrate that any funding provided by the Town will not be used to fund grants to other organizations and attach it to this grant application form.
Attachments Required
[X] Resolution of Board of Directors to request a Grant in Aid from the Town of View Royal. ** If there is no Board of Directors, a statement of request must be signed by the majority of the members of the non-profit or community organization. [X] Prior years financial statements of the organization. [ ] Documentation Town funding will not be used to fund grants to other organizations (if applicable)
About Your Organization
Legal Name of Organization: Ocean Ambassadors Canada Mailing Address: ________________________________________ Operating at: ________________________________________ Ph: ____________________ Fax: ____________________ Email: ____________________ Contact: Kelsey Gil Title: Program Director, Vancouver Society Registration Number: ____________________ Year Registered: ____________________ Charity Registration Number: 729377093RR0001 Year Registered: 2018 Year Founded: 2017 Fiscal year end: 30 / June (day/month) List any other geographic areas in which your organization operates: Metro Vancouver, Nanaimo
Your Organization’s Personnel
- Organization Executive and Staff:
- President: Alison Wood, Chairperson Telephone: ____________________
- Secretary/Treasurer: Eddie Wood Telephone: ____________________
Board Members:
- Stacy Gorkoff, Vice Chair
- Teagan Sacré, Director
- Theo Birkner, Director
- Pierce Burns, Director
- List the staff or volunteer positions involved in carrying out the project:
| Name and Position | Paid | Volunteer |
|---|---|---|
| Alison Wood, Executive Director | ✓ | |
| Kelsey Gil | ✓ | |
| Olivia Brennan | ✓ | |
| Kali Leskiw | ✓ |
Your Organization’s Objectives and Services
- Describe your organization's mission statement and how your services meet them: Ocean Ambassadors Canada is an environmental charity that is turning the tide on marine pollution through experiential ocean education programs for children and youth, zero waste coaching for small businesses, community initiatives and single-use item reduction campaigns. Through our programs, initiatives, and coaching, we empower people of all ages to protect what they love.
Your Proposed Program Budget
- Please list all expenses and sources of project revenue, including "in-kind" contributions from your (or any other) organization.
| A. Income | Last Fiscal Year (If program was in existence) | This Fiscal Year (Proposed program budget) |
|---|---|---|
| Town of View Royal | $2,414 | |
| Fees or Membership Dues | ||
| Government Revenue (specify below) | ||
| Interest income | ||
| Bingo revenues | ||
| Direct access revenues | ||
| Fundraising projects | ||
| Other Revenue (specify below) | ||
| TOTAL INCOME | $2,414 |
| B. Expenses | Last Fiscal Year | This Fiscal Year |
|---|---|---|
| Administration | ||
| Wages/Honouraria/Benefits | 60hrs @ $30/hr $2,052 | |
| Supplies and Equipment | ||
| Major Capital Costs | ||
| Mortgage/Rent/Utilities | ||
| Fees (licensing, etc.) | ||
| Insurance | ||
| Advertising/Printing/etc. | Posters and stickers $240 | |
| Other (specify below) | Vehicle Mileage $122 | |
| TOTAL EXPENSES | $2,414 |
Details of Your Organization’s Grant Request
- Nature and goals of the project, program or event: PickUp3 is an easy and fun way for everyone to help protect our local marine environment and wildlife. PickUp3 is a growing movement driven by communities that care. These communities want to keep our beaches clean. PickUp3 has three simple steps. First, community members visit a local beach. Second, they pick up three pieces of litter. Finally, participants dispose of their trash, and use the QR code found on local garbage cans to track their pickup. With the help of our volunteers, we are hoping to reach the following three goals for Vancouver Island:
- 100,000 pieces of trash removed from beaches
- 4000+ people inspired to participate in our communities
- 200+ people to be inspired to volunteer at PickUp3 events PickUp3 View Royal project goals: Host education events at local parks, beaches and community schools.
- Summary of direct and indirect benefits to the Town of View Royal:
- Cleaner community
- A fun and easy way for community members to feel that they are contributing to their community
- View Royal can track their litter pickup and share with community members to build pride
- An easy opportunity to volunteer. People can volunteer by engaging friends, family members and neighbours.
- People who pick up trash start to recognize the problem of litter in our environment and may change their habits. When we hear the ocean is in trouble it's easy to feel overwhelmed. If you want to take action but don't know where to start, PickUp3 is a growing movement driven by communities that care. These communities want to take action and remove plastic and other waste from our beaches, educate on the importance of ocean health and inspire people to make a change. Anyone from ages 0-99 can participate. The power of this movement is in the numbers – the more people pick up, the cleaner the ocean.
Conditions of Funding
- The applicant must acknowledge the support of the Town in all printed and publicity material related to the project, event, or program;
- Funds must be used for the purpose for which they were requested. Any funds not used for the requested purpose must be returned to the Town.
- Funds will be released as follows: a. Grants in aid provided for annual programs will be released at 100% at time of approval by Council; b. Grants in aid provided for special projects or events will be released at 50% at time of approval by Council and 50% after receipt of the final report; c. Conditional grants in aid will be paid 100% upon satisfactory proof that the conditions, as set by Council, have been met.
- Organizations receiving grants from the Town shall provide an accounting of the project or program for which the grant was approved as follows: a. Where the grant in aid was for a specific project or event the applicant must submit a final report within 45 days after the project or event is complete. b. Where the grant in aid was in support of an annual program, the applicant must submit a final report within 60 days of the end of the organization's fiscal year.
- An final report must include the following information: i. Evaluation of the project, event, or program; ii. Financial statement of actual revenue and expenses for the project, event or program; iii. Attendance figures, if applicable; iv. Number of participants in the project, event, or program; and v. Evaluation of the direct and indirect benefits to the Town.
- In the event that the project or program is not completed, the grant recipient organization must notify the Town as soon as practical and refund any grant funds that have been provided for that project.
Your Directors’ Declaration
We, the undersigned, do hereby certify that this application and all appended forms and/or documents contain a full and accurate account of all matters stated:
Name: Alison Wood Title: Executive Director Date: March 1, 2023
Name: Edward Wood Title: Treasurer Date: March 1, 2023
Please submit your completed application to: Town of View Royal 45 View Royal Ave Victoria, BC V9B 1A6 www.viewroyal.ca Fax 250-727-9551 email: finance@viewroyal.ca





