Saskatchewan Community Literacy Fund
Application for Project Funding (2017-18)
APPLICATION FORM
Applicants are required to submit the complete application electronically to:
The Saskatchewan Literacy Network Inc. by email at: [email protected]
by 11:59 pm on Friday, June 30, 2017
Project Name:
Date application submitted:
Amount of 2017-18 SCLF funding requested
Total project costs, with all funding sources included
1. Applicant: Contact Information
1.1 Organization applying for funding (must be registered with the Saskatchewan Corporate Registry)

Full legal name of organization

Date of incorporation

Applicant’s address

Name and position of person who is legally
entitled to sign services agreement

Applicant’s e-mail

Applicant’s telephone
1.2 Organization delivering the project: Contact information

Name of organization delivering the project

Organization’s mission or values statement

Name and position of main contact for
project

Contact’s e-mail

Contact’s telephone
2. CHECKLIST:
DO YOU HAVE EVERYTHING YOU NEED?
Yes
N/A
2.1 Organization applying for funding

legal name

address

contact information
2.2 Organization delivering the project

organization’s name and address

organization’s mission or values statement

contact’s name, position and contact information
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Saskatchewan Community Literacy Fund
Application for Project Funding (2017-18)
2.3 Mandatory components
DO YOU HAVE EVERYTHING YOU NEED?

letter(s) of support

signature of applicant and formal partners

completed application form

completed budget
Yes
N/A
3. Declaration
I have been given the authority to submit this application on behalf of the applicant. I declare the information
provided in this application is complete, true and accurate.
3.1 Signature of the person legally entitled to sign a services agreement
_____________________________________________________________
Name (please print)
Organization
Signature
__ __________ _
Date
3.2 SCLF Formal Partners Signatures (sign here and attach letters of support)
______________________________________________________________
Name (please print)
Organization
Signature
_____________________________________________________________
Name (please print)
Organization
Signature
_____________________________________________________________
Name (please print)
Organization
Signature
___________ _
Date
__ ____ ________
Date
__ ____ ________
Date
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Saskatchewan Community Literacy Fund
Application for Project Funding (2017-18)
4.0 Project Focus
4.1 From the list below indicate the priority areas that your community or family literacy project will address:
 First Nation and/or Métis communities\
 Newcomers to Saskatchewan
 Young Parents or single parents
 People with intellectual and/or physical challenges
 Low income families
 Youth
 Rural communities
4.2 From the list below, make a check mark only in the boxes that your family and/or community literacy
project proposal includes:
 Intergenerational family literacy programming that involves parents/caregivers/community members and
children for the purpose of learning and reading together
 workshops, seminars, and one-time events that provide information and raise awareness about the
importance of literacy or provide community and/or family literacy programming for various age groups or
populations (i.e., youth, seniors, children in after school programs, etc.).
 Family literacy training for staff and/or volunteers of non-profit organizations and/or community members
(i.e., parents, caregivers )
 Community engagement and capacity building to address identified community and family literacy needs
 Family literacy initiatives, event(s) or festival showcasing family literacy
 Family literacy resource development or acquisition of family literacy resources that support delivery of family
literacy programs (note: development and/or distribution of resources must be attached to a family literacy
program that is actively being delivered or scheduled)
 Cultural enrichment supports for family and literacy programming that is adapted for ethno-culturally diverse
families
 Family literacy research that contributes to advancing Saskatchewan’s family literacy community of practice.
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Saskatchewan Community Literacy Fund
Application for Project Funding (2017-18)
5. The Project Proposal -Please use the following headings to describe your project proposal
5.1 Project Description - Executive Summary
Provide a short description of the project and location where project will be delivered and include:
a. Project goal – state the purpose and what the project is going to achieve?
b. Project objectives and impacts
c. Description of the community/group of people the project will serve;
d. Timeline of the project;
e. Human, financial and physical resources needed to implement the project; and
f. Current formal and informal partners and their roles in the project.
5.2 Community Needs Assessment
1.
2.
3.
4.
5.
What is the need for the project? How was the need for this project identified?
With whom (individuals and organizations) did you consult when you developed the proposal?
How will this project address the gap in community or family literacy services?
How will you recruit participants for the project?
Who else is providing literacy services for this community?
5.3 Anticipated Outcomes for Stakeholders (participants, organization, partners, etc.) involved in the project
Participants:
1
2
Organization:
1
2
Partners:
1
2
Community:
1
2
3
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Saskatchewan Community Literacy Fund
Application for Project Funding (2017-18)
5.4 Project Activities, Timelines and Anticipated Outcomes
Indicate the primary or major type of activities that will need to occur to carry out their project and
anticipated start and end dates. Add more lines for activity description if needed.
Project Activities
Start date
End date
Anticipated Outcome
5.5 Human Resources Needed to Implement the Project


What staff will be needed to support the project? Are they full or part-time?
Will volunteers be used to support the project?
5.6 Project Evaluation Process





How will you measure the success of the project for all the stakeholders?
Who will participate in the evaluation process?
What will you evaluate?
How will the data be gathered, documented and analyzed?
How will you report the results of the project to the stakeholders?
6. Project Budget
Applicants should submit the 2017-18 SCLF Project Template in EXCEL format (available on the Literacy Office
website). Included on the following page is a picture copy of the 2017 -18 SCLF Budget of the EXCEL template to
demonstrate what it looks like.
7. Project Submission
Applicants are required to submit the complete application electronically to: The Saskatchewan Literacy
Network Inc. by email at: [email protected] by 11:59 pm on Friday, June 30, 2017.
If you have any questions about the project template or need help, contact: The Saskatchewan Literacy Network
by email at: [email protected] or call Toll Free: 1-888-511-2111.
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Saskatchewan Community Literacy Fund
Application for Project Funding (2017-18)
SCLF BUDGET Template
(Picture Copy – do not use)
Saskatchewan Community Literacy Fund
2017-18 Proposal Budget
Submitted by
Applicant's/Organization's Name
In-Kind
Contributions
Revenue from Other
Sources
SCLF Funding
Line Total
Staff Wages
Staff wages and Mandatory Employment-Related Costs (MERCS)
0.00
Other employment-related benefit costs (Worker's Compensation Benefit, medical,
dental, pension, etc.)
0.00
Professional Fees
Honoraria (speakers, Elders, consultants etc)
0.00
Professional fees - bookkeeping, janitorial services, Information technology,
webpage design, security etc
0.00
Capital Assets
Capital assets (any asset requiring agreement of disposition)
N/A
0.00
Furniture
N/A
0.00
Other Staff-related Project Costs
Staff disability supports
0.00
Staff and volunteer travel (see reimbursement rates at the bottom of the page)
0.00
Staff professional development relevant to the project (obtain quotes prior to
submitting application)
0.00
Facilities, Equipment and Office Supplies
Rent, lease (including applicant owned premises)
0.00
Utilities
0.00
Bank Charges
0.00
Insurance (fire, theft, liability)
0.00
Technology and related software for the sole use of the project
0.00
Equipment lease/rental as well as equipment repair/maintenance
0.00
Office supplies for the sole use of the project
0.00
Administrative support (not to exceed 10% of the total project amount)
0.00
Program Expenses Related to the Project
Advertising, printing, signage
0.00
Postage and courier
0.00
Telephone, fax, internet
0.00
Reference materials relevant to project
0.00
Disability supports (includes technology)
Travel subsidies
0.00
0.00
Childcare
0.00
Refreshments for program participants
0.00
0.00
0.00
Materials and supplies, books and testing materials, to be used by/for participants
Activities that recognize program completion
-
$
Totals
$
-
$
-
$
-
Government Reimbursement Rates (effective April 1, 2017)
Accommodation:
Meals:
Mileage:
south of the 54th parallel
39.99¢ per kilometre
Breakfast $ 8.00
north of the 54th parallel
43.06¢ per kilometre
Lunch
Supper
14.00
19.00
hotels:
reasonable rates
private accommodation: $35.00 per night
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