MUNICIPAL GRANT APPLICATION It is the policy of the City of Sarnia to provide modest financial assistance to not-for-profit, community-based organizations for projects that pro-actively contribute to the strategic priorities of Council as identified in the City’s Strategic Plan. It is recognized that volunteer efforts of community organizations are significant and that Sarnia’s taxpayers cannot fund every worthwhile project. ** APPLICATION DEADLINE: 4:30 PM ON FRIDAY, AUGUST 30, 2019 **Funding Year*20202021Grant Amount Requested ($)*APPLICANT INFORMATIONOrganization Official Name*Contact Person*Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Email* ORGANIZATION ELIGIBILITYAre you a not-for-profit incorporated organization?*YesNoCanada Revenue Agency Registration No. (if applicable)Governed by a community-based volunteer Board of Directors?*YesNoExtend services to the general public of the City of Sarnia?*YesNoGovernment organization?*YesNoOrganization has a Political Affiliation?*YesNoOrganization provides grants to others?*YesNoAre the organization’s activities inconsistent with the City’s values/goals?*YesNoPROJECT DETAILSTitle of Project*Description of the Project*Objectives (specific, measureable, and with defined completion dates)*Outline the need for the project, and how it has been determined.*How will the objectives be measured?*What are the benefits to the citizens of Sarnia?*Which City of Sarnia Strategic Priority does the objective contribute too?*Economic InnovationHigh Quality of Life & Caring for all CitizensResponsible Financial ManagementCorporate Excellence & LeadershipFor additional information, including the City's Goals and Strategies, please refer to the City's Corporate Strategic Plan; a link can be found at the beginning of this application.Describe how the objective contributes to the City’s Strategic Priority.*Describe how the project will be sustainable in the future, including how operating costs will be funded.Describe the project’s volunteer involvement. What portion of the project will be completed by volunteers versus paid staff/consultants/contractors?*Project Start Date* Date Format: MM slash DD slash YYYY Project End Date* Date Format: MM slash DD slash YYYY Project Budget*Accepted file types: doc, pdf, docx.Please upload your completed Project Budget. The Municipal Grant - Project Budget Template can be downloaded from the main Municipal Grant Information page.Application Submission Date* Date Format: MM slash DD slash YYYY