Applicant Information
Name of Organization: First Name* Last Name* Email address* Address* City* Country*
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Project Information
Name of Project: Project Start Date: Project End Date:
Organization
Provide a clear statement of your organization's Vision, Mission and Mandate.
Vision Mission & Mandate:
Project Goals & Objectives
Provide a clear statement on how this project fits within your organization's visions, mission and mandate.
Goals & Objectives:
Action Circle Priorities
Clearly identify the Action Circle priority or priorities (a maximum of two) that your project meets.
Action Circle Priorities: How does your project address one or two of the Action Circle priorities identified above?
Target Group
Describe which target group your project/program will impact.
Target Group:
Barriers
Describe your plan to reduce barriers.
Describe:
Cultural Component
Describe the cultural component of your project.
Describe:
Statement of Need
Describe how your project addresses the needs of Edmonton's urban Aboriginal community. Present the facts and evidence that support the need for the project using current data where possible.
Describe:
Community Benefits
Describe how the community will benefit from your project.
Describe:
Action Plan
List your proposed activities, including a description , location , start date and end date for each.
Clear list of proposed activities:
Project Team
Please indicate your project team and their roles and responsibilities .
Team roles and responsibilities:
History of Organization
A clear statement on programs/services that your organization offers. Provide a clear, detailed statement demonstrating your organization's capacity to offer the proposed program or service.
History: If this project has been offered before, indicate past successes, changes, and how it was previously funded:
Partnerships and Collaborations
Describe community collaboration(s) and partnerships involved, their roles and responsibilities and include letters of support or agreements. If this program/service already exists in the community, provide rationale on why it should be duplicated.
Describe:
Measurable Outcomes
Please provide a listing of high
priority goals for your project, with corresponding outcome indicators
(specific goals with measurable outcomes).
Goal Example:
Goal 1: To provide employment readiness preparation, job training and work placement for unemployed Aboriginal Youth.
Outcome Example :
Outcome 1a: Youth attendance is at or above 80% level throughout skill development programs
Outcome 1b: Number of successful work placements provided
Goal (1):* Outcome(s) (1):* Goal 2: Outcome(s) (2): Goal 3: Outcome(s) (3): Goal (4): Outcome(s) (4):
Project Evaluation:
Clearly describe how the evaluation of your project will be carried out. If a third party evaluator will be used be sure to include that expense in your budget.
Describe:
Communication Strategy
Explain how you will share your best practices and accomplishments with the urban Aboriginal community (i.e. Action Circles).
Communication Strategy:
Project Sustainability
If applicable, provide information on future project sustainability.
Sustainability Information:
Fiscal Accountability
Please describe your organizational financial process that ensures fiscal accountability.
Describe:
Project Budget and Revenue
1. Funding Sources & Contributions
Please indicate funding sources and contributions. Include Federal, Provincial, municipal, donations and sponsorship revenue.
Funding Source: Appicant's contribution (1):* Tentative Amount (1):* Confirmed Amount (1):* Funding Total (1):* Funding Source: Appicant's contribution (2): Tentative Amount (2): Confirmed Amount (2): Funding Total (2): Funding Source: Appicant's contribution (3): Tentative Amount (3): Confirmed Amount (3): Funding Total (3): Funding Source: Appicant's contribution (4) Tentative Amount (4): Confirmed Amount (4): Funding Total (4): Funding Source: Appicant's contribution (5) Tentative Amount (5): Confirmed Amount (5): Funding Total (5): 2. In Kind Contributions: Applicant's Contribution ($): Other Contributors ( Please specify i.e. rent, volunteers): Total In Kind Contributions ($): 3. Total Project Revenue
Identify the total project revenue, combining Funding Source and In Kind Contributions.
Total Revenue ($):* 4. Wage Expenses
Please indicate all project delivery staff and related costs.Position Name (1):* Salary (1):* Benefits (1):* Total Cost (1):* Position Name (2): Salary (2): Benefits (2): Total Cost (2): Position Name (3): Salary (3): Benefits (3): Total Cost (3): Position Name (4): Salary (4): Benefits (4): Total Cost (4): Position Name (5): Salary (5): Benefits (5): Total Cost (5): 5. Project Expenses
Please indicate all project expenses required to carry out the project. If not applicable enter N/A.
Travel ($): Hosting (Catering) ($): Facilities ($): Marketing & Promotion ($): Professional Fees ($): Consulting Fees ($): Supplies & Equipment ($): Training & Development ($): Administration ($): Honoraria ($): Other (please specify): Capitol Costs (please specify) Total Project Expenses:* 6. Total Project Expenses Wage + Project Expenses:*
Thank-you for taking the time to complete the Project Proposal Form
Now that you have entered all the necessary information, please select the "Submit" button seen below.