Grant Application Form: Greater Victoria Crossing Guards Association
Completed grant application form for the crossing guard program at various schools in View Royal.
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] Program (annual operations)
Project / Event / Program Name & Description: Crossing guard service provided to Greater Victoria Schools in View Royal. There are (2) two at Eagle View Elementary, (2) two at Shoreline Middle and (1) at View Royal Elementary.
Grant amount applied for? $31 000.00 % of project/event/program budget 14.3 % Date the project, activity, event or program will occur: September 2018 thru June 2019
Has your organization ever received grant funding from the Town? [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? [X] No * If yes, in what year(s)? __________
Does your organization issue grants to other organizations? [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: Greater Victoria Crossing Guards Association Mailing Address: 1225 Glyn Oak Pl. VICTORIA BC V8Z 5J4 Operating at: Eagle View Elementary, Shoreline Middle & Craigflower Elem, and View Royal Elementary Schools. Ph: __________ Fax: __________ Email: __________ Contact: Audrey Smith Title: President Society Registration Number: S0069545 Year Registered: 2018 Charity Registration Number: __________ Year Registered: __________ Year Founded: 2018 Fiscal year end: 31 / 07 (day / month) List any other geographic areas in which your organization operates: Victoria, Oak Bay, Esquimalt, Saanich
Your Organization's Personnel
1) Organization Executive and Staff: President: Audrey Smith Telephone: __________ Secretary/Treasurer: __________ Telephone: __________ Board Members: Norm Tandberg Caroline Smister
2) List the staff or volunteer positions involved in carrying out the project:
| Name and Position | Paid | Volunteer |
|---|---|---|
| 5 crossing guards | X | |
| 1 coordinator | X | |
| 1 administrator/director | X | |
| Contractor for Payroll | X |
Your Organization's Objectives and Services
1) Describe your organization's mission statement and how your services meet them: Our association's purpose is to Support pedestrian safety around schools. We will strive to provide adult crossing guards at identified crossings to meet our goal. We provide training and support to the crossing guards deployed.
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 | 31000.00 | |
| Fees or Membership Dues | Ø | |
| Government Revenue (specify below) | ||
| other Municipalities | 189,000.00 | |
| Interest income | ||
| Bingo revenues | ||
| Direct access revenues | ||
| Fundraising projects | ||
| Other Revenue (specify below) | ||
| TOTAL INCOME | 220,000.00 |
| B. Expenses | Last Fiscal Year | This Fiscal Year |
|---|---|---|
| Administration | 20 000.00 | |
| Wages/Honouraria/Benefits | 200 000.00 | |
| Supplies and Equipment | ||
| Major Capital Costs | ||
| Mortgage/Rent/Utilities | ||
| Fees (licensing, etc.) | ||
| Insurance | unknown incl in admin. | |
| Advertising/Printing/etc. | ||
| Other (specify below) | ||
| TOTAL EXPENSES | 220,000.00 |
Details of Your Organization's Grant Request
1) Nature and goals of the project, program or event: Greater Victoria Crossing Guards Association is a non-profit organization formed to transition from Beacon Community Services which has been providing crossing guards to the Greater Victoria School District for the past ten or more years. We are dedicated to pedestrian safety and public awareness of the children walking to school. We hire, train, and support the adults working the intersections identified as requiring supervision.
2) Summary of direct and indirect benefits to the Town of View Royal: We will provide traffic safety at peek pedestrian traffic times, during school days. This service will bring peace of mind to families in View Royal to allow their children to walk to school. The decrease of vehicles will benefit all the citizens of View Royal. We provide the service so that the township does have to deploy higher paid worker better suited for more challenging work.
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: Audrey Smith Title: President/Director Date: July 10, 2018
Name: Norm Tandberg Title: Director Date: July 10, 2018
Document Images
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