Required fields are marked with asterisks (*)

Community Grant Application Form

Organization name

Application date

Please indicate the grant amount you are requesting

Please describe how the funds will be used

Contact Information

Contact person (first name, last name)

Street #

Street name

Unit # (if applicable)

City

Province

Postal code

Home phone number

Daytime contact number

e-mail address

Please confirm that you are a volunteer non-profit or chariable organization that is eligible under the guidelines set out by the AGCO

Yes

The following is a list of documents that are required to be included with your application. Failure to include any of the documents may result in your application be delayed and/or not being considered.

Attach a list of the organization executive

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Attach the proposed budget for the specific project/purpose

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Attach the most recent financial statement for the organization

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Please explain the purpose, goals and financial request

Organization Information

How many members are registered?

Total number of members who are Woodstock residents.

Total number of members who are non-residents.

Total number of participants in the program.

Total number of participants in the applicable program who are Woodstock residents.

Total number of participants in the applicable program who are non-residents.

Briefly outline the purpose and activities

Financial Information

Has the organization made a request for or received funds from one of the following prior to this application?

Please choose all that apply to grants that you have received in the past

City of Woodstock Community Grants

County of Oxford

Federal

United Way

Provincial

Trillium Grant

Other (foundation, charitable organizations)

None of the above

1st year

Amount

What steps is your organization taking to reduce dependence on grants such as the "Community Grant?"

Authorization

I/we acknowledge that we have read and understand this application and the Community Grants Policy GA003.

I/we certify that to the best of our knowledge, the information provided in this application is accurate, complete and is endorsed by the organization we represent.

If a grant is authorized, I/we agree to provide feedback as outlined in Policy GA003 within six months of receiving funding.

1st signing officer's name

1st signing officer's title (within the organziation)

1st signing officer daytime contact phone number

2nd signing officer's name

2nd signing officer's title (within the organization)

2nd signing officer's daytime contact phone number

Personal information on this form is collected under the authority of the Municipal Act and will be used to evaluate the qualifications for City of Woodstock Community Grants. Inquiries may be directed to the City Clerk or the Deputy Clerk at 500 Dundas Street, P.O. Box 1539, Woodstock, ON N4S 0A7

Form Builder

Community Grant Application Form

Contact Information

The following is a list of documents that are required to be included with your application. Failure to include any of the documents may result in your application be delayed and/or not being considered.

Organization Information

Financial Information

Authorization

Contact Us

I'd Like To...

Pay

Register

Learn About

Apply

Contact