COMMUNITY ACTION GRANT APPLICATION 2016/2017
The Community Action Grant presented by Just Energy Foundation (the “Grant Program”) is a grant
program for charitable organizations or organizations who receive a charitable trustee in Ontario in
need of funding for a youth-related recreational basketball, hockey/skating and soccer program. MLSE
Foundation will be awarding three (3) grants, totaling $150,000 with each grant being $50,000. These
grants will only support recreational programs, not capital projects.
The Community Action Grant presented by Just Energy Foundation will award one (1) Toronto Raptors
Grant of fifty thousand dollars ($50,000) for a basketball program, one (1) Toronto Maple Leafs grant of
fifty thousand dollars ($50,000) for a hockey/skating program and one (1) Toronto FC grant of fifty
thousand dollars ($50,000) for a soccer program. Selected recipients will be notified February 2017.
In addition to the Eligibility Criteria and the Proposal Selection Process items listed below, Program
Proposals will be assessed using the following criteria:
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Fit with the MLSE Foundation mission
Clear, measurable benefits to the community
Potential for lasting impact, including sustainability and maintenance of Program
Clear case for community support
Programs that build more inclusive communities and address barriers of all types
Programs that value, foster and celebrate diversity
Facility considerations, including cost, permitting and potential programming opportunities
NOTE: Review the grant guidelines before answering the grant application questions. Respond to
questions in a word document following the specified word limit.
SUBMISSION PROCESS: The application must be received by the deadline, January 13, 2017 at 5:00pm.
All components must be received by email. Applications that do not meet criteria will be removed from
the evaluation process. You will be contacted in February if you are selected.
By Email: Email completed application in Word format, in one single document, to
[email protected] . Program schedule and financials can be attached separately.
* Please direct all questions regarding the Grant Program to [email protected].
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COMMUNITY ACTION GRANT APPLICATION 2016/2017
Charity/organization name:
Charitable registration number (valid through Canada revenue agency):
Select one of the following:
☐ The charitable registration number belongs to my organization
☐ I have provided a letter confirming my trustee
Note: If you are an organization without charitable status you must apply with a charitable partner
(trustee) and provide a letter confirming the nature of your relationship.
If it is a partner organization, do you have permission to submit the application under their name?
☐ Yes
☐ No
Is the charitable organization associated with the proposal located in Ontario?
☐ Yes
☐ No
Does the charitable organization associated with the proposal serve youth in Ontario?
☐ Yes
☐ No
Does the proposal provide and/or support a basketball, hockey/skating or soccer based program for
youth?
☐ Yes
☐ No
Organization operating budget
☐Less than 500K
☐Between 500K-2M
☐Between 2M-5M
☐More than 5M
CONTACT INFORMATION
Contact name:
Address:
Phone number:
Email address:
Affiliation with organization:
Website:
Social media:
Twitter
Facebook
Instagram
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COMMUNITY ACTION GRANT APPLICATION 2016/2017
BACKGROUND
1. Organization history (max 250 words)
2. Vision and Mission (max 150 words)
3. Current Programming and Location (max 250 words)
4. Has your organization received past funding from MLSE Foundation?
☐Yes
☐ No
If yes, list the timing and grant amount:
PROPOSAL
1. Program Name:
2. Program Focus
☐ Toronto Raptors Grant - Basketball or
☐ Toronto Maple Leafs Grant - Hockey/Skating or
☐ Toronto Raptors Grant - Soccer
3. Program Location: In which community will the program run?
4. Description of program (max 500 words)
5. Is this a pilot program?
☐Yes
☐ No
a. If yes, what gap does it fill in the community? (max 100 words)
b. If it is not a pilot program, will funding help grow the program? Explain (max 100 words)
6. How accessible is the program for children and youth? Are there registration fees? If yes, how much
are registration fees? (max 100 words)
7. What makes your staff/volunteers qualified to run this program? (max 150 words)
IMPACT
1. How many children and youth will be served by this program?
2. How many days a week does this program run?
3. How many hours a week does this program run?
*Please attach the program schedule to outline the amount of days and hours the program will run.
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COMMUNITY ACTION GRANT APPLICATION 2016/2017
4. How will the outcomes be measured?
a. Data Source: What data source will you use to measure your program results? (i.e. survey,
observation tool, one-on-one interviews, etc.) (max 100 words)
b. Outputs: What will be the tangible result of your program? (i.e. number of children enrolled,
number of children participating, number of coaches, number of community participants, etc.)
(max 150 words)
c. Outcomes: What key issues is this program addressing and what are the expected outcomes of
the program? (i.e. problem-solving, cooperation, respect, self-esteem) (max 250 words)
5. Are these outcomes urgently needed in the community you are serving? Explain (max 100 words)
6. Does the proposed program engage other residents in the community (parents, volunteers, etc.)? If
so, explain. (max 100 words)
7. What is the projected long-term impact of the program? (max 150 words)
SUSTAINABILITY/FINANCIALS
1. Please include proposed financials of how the grant will be used, be specific
Item
$ Amount
Timeline
(Approximate date the funds will be spent)
TOTAL:
Note: If you need more space, please provide a separate attachment in your submission in PDF format.
2. Do your proposed financials include operational/core funding?
3. For program costs above the amount granted by MLSE Foundation, has funding already been
secured?
☐Yes
☐No
Explain (max 50 words):
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COMMUNITY ACTION GRANT APPLICATION 2016/2017
4. Are you seeking other funders?
☐Yes
☐No
Explain (max 50 words):
5. Do you currently have other funders? If so, who?
☐Yes
☐No
Explain (max 50 words):
6. Do you have partnerships that are non-monetary? If so, explain.
☐Yes
☐No
Explain (max 50 words):
☐I have read and accept the Grant Guidelines for the Community Action Grant.
☐I have provided accurate information in this application.
☐I understand that my application will not be accepted if it is submitted after the due date.
Signature:
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Date of proposal: