Grant Application Form - Scouts Canada 3rd Arbutus
Grant application from Scouts Canada 3rd Arbutus requesting funding to help local families with scout camp and activity fees.
Grant Application Form
Grant Applications must be received by the Town on or before March 1st, 2021
Basic Information
For what type of grant are you applying?
Category: [x] Program (annual operations)
Project / Event / Program Name & Description: To offer finacially challenge View Royal families the opportunity to participate in 3rd Arbutus Scout Group by payment of camp or activity fees for up to 6 youth
Grant amount applied for: $630 % of project/event/program budget: _________% Date the project, activity, event or program will occur: Jan - Dec 2021
Has your organization ever received grant funding from the Town? [x] Yes [ ] 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
- 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.
- 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: Scouts Canada 3rd Arbutus Mailing Address: 4127 Santa Anita Avenue, Victoria BC V8Z5H5 Operating at: Town of View Royal View Royal Elementary School and the View Royal Community Contact: Jennifer Hannah Title: Group Commissioner Society Registration Number: _________________ Year Registered: _________________ Charity Registration Number: _________________ Year Registered: 1968 Year Founded: 31Aug1968 Fiscal year end: 31 / Aug (day/month) List any other geographic areas in which your organization operates: Town of View Royal
Your Organization’s Personnel
1) Organization Executive and Staff: President: Jennifer Hannah Secretary/Treasurer: Paul Scutt
Board Members:
- Jennifer Hannah: Group Commissioner
- Jason Clark: Administrator
- Paul Scutt: Acting Treasurer
- Sarah Kuwica: Secretary
- Jason Caron: Registrar
2) List the staff or volunteer positions involved in carrying out the project:
| Name and Position | Paid | Volunteer |
|---|---|---|
| Jennifer Hannah | ✓ | |
| Jason Clark | ✓ | |
| Paul Scutt | ✓ | |
| Sarah Kuwica | ✓ | |
| Jason Caron | ✓ |
Your Organization’s Objectives and Services
1) Describe your organization’s mission statement and how your services meet them: Scouts Canada: Mission is to help develop well-rounded youth, better prepared for success in the world. to think critically, to plan, to innovate and; to use information in an original way. Rooted in the Scout law, youth are taught to be positive and trustworthy; creating a bette embracing values like kindness and acceptance to make meaningful contributions
Your Proposed Program Budget
1) 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 | see attached | |
| Fees or Membership Dues | ||
| Government Revenue (specify below) | ||
| Interest income | ||
| Bingo revenues | ||
| Direct access revenues | ||
| Fundraising projects | ||
| Other Revenue (specify below) | ||
| TOTAL INCOME |
| B. Expenses | ||
|---|---|---|
| Administration | ||
| Wages/Honouraria/Benefits | ||
| Supplies and Equipment | ||
| Major Capital Costs | ||
| Mortgage/Rent/Utilities | ||
| Fees (licensing, etc.) | ||
| Insurance | ||
| Advertising/Printing/etc. | ||
| Other (specify below) | ||
| TOTAL EXPENSES |
Details of Your Organization’s Grant Request
1) Nature and goals of the project, program or event: 3rd Arbutus Scouting group works with youth in age ranges of 5-19 with diversity in income, race, abilites and disabilites and gender as an all inclusive youth community group. Our goals are to give the youth tools and skills for successes in life, offered through outdoor programs, learning leadership and planning in a group setting.
2) Summary of direct and indirect benefits to the Town of View Royal: Youth from all backgrounds are able to attend our inclusive group, while maintaining that through financial or non financial hardships, youth can belong and achieve successes in a safe community environment. Our target youth group is in the View Royal community families, enriching the lives and experience that is Scouting.
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: Jennifer Hannah Title: Group Commissioner Date: 1 May 2021
Name: Paul Scutt Title: Acting Treasurer Date: Mar 1 / 2021
Submission Instructions
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
