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:

Specific Project
Special Event
Program (annual operations)

Project / Event / Program Name & Description: Replacement of 38 tables and 200 chairs.

Grant amount applied for? $17202.6 % of project/event/program budget 100% Date the project, activity, event or program will occur: As soon as possible

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: Strawberry Vale District and Community Club Mailing Address: 11 high street, Victoria, BC V8Z 4X5 Operating at: 11 high street, Victoria, BC V8Z 4X5

Ph: 2505328891 Fax: Email: Contact: Nathan Freeman Title: Volunteer Society Registration Number: S0003355 Year Registered: 1948 Charity Registration Number: Year Registered: Year Founded: 1948 Fiscal year end: 31 / 12 (day / month) List any other geographic areas in which your organization operates: n/a

Your Organization’s Personnel

1) Organization Executive and Staff:

President: Joyce Calland
Secretary/Treasurer: Frank Bannard
Telephone:
Telephone:

Board Members:

Leslie Freeman
Larry Freeman
Karrie Rant
Doris Burow
Brian Tetlow
Bonnie Woodfine
Felix Woodfine

2) List the staff or volunteer positions involved in carrying out the project:

Name and Position	Paid	Volunteer
Nathan Freeman		✓

Your Organization’s Objectives and Services

1) Describe your organization’s mission statement and how your services meet them: To provide a facility for holding a range of community events such as a bingo every Wednesday night badminton every thursday night in the winter as well as a kung fu group and a group of musicians use the hall on a weekly bases. We also allow for private rentals for a range of events for whatever event they would like to hold.

Your Proposed Program Budget

1) Please list all expenses and sources of project revenue, including “in-kind” contributions from your (or any other) organization.

(Note written on form: See Attached Budget. (Last page))

A. Income	Last Fiscal Year (If program was in existence)	This Fiscal Year (Proposed program budget)
Town of View Royal
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: The goal of this project is to replace all of our chairs as the old chairs are starting to break. We would also like to replace the tables as they are also starting to break. We would also like to buy a table dolly so that we have Proper storage for the tables in the back room.

2) Summary of direct and indirect benefits to the Town of View Royal:

Direct benefit: View royal holds its volunteer appreciation dinner at the hall every year, so for that event they would get to use new chairs and the tables which would be of benefit to them.

Indirect benefit: Make renters more satisfied with using the hall which would make it more desirable to rent which would inscrease rentals and make the hall more feasible helping us keep our doors open.

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: Frank Bannard Title: Treasure Date: 2018/08/17

Name: Larry Freeman Title: Vice President Date: 13 Sept 2018