In This Section

Program Guidelines and Grant Application Form

Author: OMAFRA Staff
Creation Date: 31 January 2007
Last Reviewed: 08 January 2008

Table of Contents

1. Application Forms

Section 1. Tell us about yourselves

Applicants are required to complete the following information. Eligible applicants must share in the risks of the project, invest in the project and sign an Agreement with the Province of Ontario if approved. Businesses and organizations wishing to contract with the applicants for goods and services and/or provide donations to support the project are not considered to be applicants. Attach on a separate sheet additional applicants if needed.

Language preferred for correspondence (please select one):      check box  English      check box  French

Name of Lead Applicant (for contacting purposes only):  ________

Position:   ______________________________________________________

Organization or Business (full legal name):  __________________________

Mailing Address (street):  _________________________________________

P.O. Box:  _________________________ 

City/Town:  ___________________________________

Region/County:  _____________________ 

Province:  ____________________________________

Postal Code:  _______________________

Tel:  _________________     Fax:  ___________________    

E-mail:  _________________________________________

Describe your organization (brief history, activities, role and contributions to the project):

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________


Name of Co-applicant:  _________________________________

Position:   ___________________________________________________

Organization or Business (full legal name):  _______________________

Mailing Address (street):  ______________________________________

P.O. Box:  _________________________ 

City/Town:  ___________________________________

Region/County:  _____________________ 

Province:  ____________________________________

Postal Code:  _______________________

Tel:  _________________     Fax:  ___________________

E-mail:  _________________________________________

Describe your organization (brief history, activities, role and contributions to the project):

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________


Name of Co-applicant:  _________________________________

Position:   ______________________________________________________

Organization or Business (full legal name):  __________________________

Mailing Address (street):  _________________________________________

P.O. Box:  _________________________ 

City/Town:  ___________________________________

Region/County:  _____________________

Province:  ____________________________________

Postal Code:  _______________________

Tel:  _________________     Fax:  ___________________    

 E-mail:  _________________________________________

Describe your organization (brief history, activities, role and contributions to the project):

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

Name of ministry contacts who you have consulted regarding the project:

  1. Names of contact:  ____________________________________________

    Ministry Name:  ______________________________________________

  2. Names of contact:  ___________________________________________

    Ministry Name:  _____________________________________________

  3. Names of contact:  __________________________________________

    Ministry Name:  _____________________________________________

  4. Names of contact:  ___________________________________________ 

    Ministry Name:  _____________________________________________

 

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Section 2. Tell us about your project

Project Title:  ___________________    File Number (if known):  ________

Type of Project:

check box  Community Revitalization     

check box  Access to Healthcare Services     

check box  Skills Training and Enhancement to Healthcare Services

Brief Summary of Project (This is an opportunity for you to summarize your grant application in clear and concise terms). Limit to a maximum of 3 sentences.

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

 

Description of Project (please include the purpose of the project, the need for theproject, how the project will be carried out and the expected major outcomes of the project):

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________


List of Major Objectives of the Project:

  1. ________________________________________________________

_____________________________________________________________

______________________________________________________________

  1. ________________________________________________________

______________________________________________________________

______________________________________________________________

  1. _________________________________________________________

_______________________________________________________________

Deliverable of the Project:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

Proposed Project Start Date
(month/year):  __________________________   

Proposed Project End Date
(month/year):  __________________________   

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Section 3. Tell us why there is a need for this project

Barrier(s) to economic development being addressed by the project (for each of the barriers please explain why there is a need for the project and provide any references to information that describes the need for this project, e.g., titles of previous studies, job losses, downtown business closures, new skill requirements, status of healthcare services):

Barrier 1

______________________________________________________________

Explanation and supporting information:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________


Barrier 2 (if applicable)

_____________________________________________________________

Explanation and supporting information:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

 


Barrier 3 (if applicable)

____________________________________________________________

Explanation and supporting information:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

 

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Section 4. Tell us how you plan to carry out your project

Please tell us how and when you plan to complete your project. For each major activity/outcome or deliverable listed shade the boxes for the duration of that activity. If you require more space, please add additional sheets. Should your project be technology based please attach information on your technology to assist us in your evaluation.

Description of Activity/
Deliverable

Start date:

Year 1
Year 2
Year 3
Year 4
Q1
Q2
Q3
Q4
Q5
Q6
Q7
Q8
Q9
Q10
Q11
Q12
Q13
Q14
Q15
Q16
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 

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Section 5. Tell us about the benefits and outcomes of your project

Section 5.1 Benefits of your project

Summarize using bullet points how each of the following will benefit from the results of your project in both the short-term (directly as a result of your project) or longer term (2 to 5 years following your project):

Applicants/Co-applicants:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

Other stakeholders:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

Rural communities:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

Ontario:

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

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Section 5.2 Measurable Outcomes of Your Project

Please indicate how your project will result in the following outcomes. Please use both qualitative measures (e.g., skills and knowledge acquired, improvements made, efficiencies gained, etc.) and quantitative measures (e.g., the number of jobs, amount of investment, number of community groups, materials distributed) wherever possible that demonstrate the impact of your project. Please note that not all types of outcomes/anticipated results will be relevant to your specific project.

 

How does your project relate?
Anticipated Resultor Outcome
Short Term
(duration of Project)
Longer Term
(2 to 5 years after Project)
Amount of new investment in the community and/or the Ontario business climate    
Number of jobs created, retained or upgraded    
Number of community groups involved or benefiting from your project    
Number of new alliances    
Number of innovative products/services or technologies for rural Ontario    
Number of tools, information and/or resources for rural economic development    
Number of barriers to economic development in rural Ontario resolved by you project    
Other    

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Section 6. Tell us about the costs of the project

Eligible expenditures must be directly related to the project and would not have otherwise been incurred by the applicants. Expenditures must be actual cash outlays to third parties that are documented through paid invoices and receipts. Proof of the applicant's ability to cash flow this project may be required.

Claims for payment must be accompanied with copies of paid invoices and proofs of payment. Payments will be subject to a 10% holdback payable upon successful completion of the project and the approval of a final report. Where the value of sub-contracts for work or services exceeds $25,000, applicants must demonstrate that a competitive process has been used. At least three written tenders must be obtained. If sole or single sourced, the applicants must make a request in writing to the Rural Investments Branch with a rationale prior to making the expenditure.

Projected Budget

Description of Projected Expenditures/Budget (over_____months)

Eligible
Costs
($)

Ineligible/
In-kind
($)
Total
Costs
($)
1.      
2.      
3.      
4.      
5.      
6.      
7.      
8.      
9.      
10.      
Total Estimated Costs
     

Quarterly Projected Expenditures by Fiscal Year

Complete the following table. Estimated costs must be in the quarter in which they were incurred but not necessarily paid. Note that the total in this table must be equal to the total estimated eligible costs.

Quarter (Apr-Jun)
Q2
(Jul-Sep)
Q3
(Oct-Dec)
Q4
(Jan-Mar)
Q1
Annual Total
2008/2009          
2009/2010          
20010/2011          
2011/2012          

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Section 7. Tell us you how plan to finance your project the costs of the project

Projects are cost-shared with the provincial government investing up to 50 per cent of the project's eligible cost in most cases. Funding may be available at up to 90 per cent of the total eligible project costs, under special circumstances. Any requests for funding from the RED Program greater than 50 per cent of eligible costs must be requested in writing with a justification.

Funding from other provincial or federal government programs will be considered in calculating the level of investment from the Rural Economic Development Program. Failure to disclose all funding or possible funding sources are grounds for termination of the application or contract. In determining contributions for cost-sharing, in-kind contributions will not be recognized but must be recorded. Projects that include fundraising during the project must obtain a guarantor of any shortfall in fundraising to cover all approved expenses prior to approval of the project.

Sources of Funding Cash Contribution
towards Approved
Eligible Costs
($)
% of
Total
Eligible
In-Kind
Contributions
towards Ineligible
Costs
($)
Total
Contributions
($)
Applicants/Co-applicants        
1.        
2.        
3.        
4.        
Other private sources of finances including supporters (list if applicable)        
1.        
2.        
Other public (government) programs
(list if applicable)
       
1.        
2.        
Requested from rural Economic
Development Program
       
Total
       

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Section 8. General Company Information, Confidentiality, Consent and Certification Form

Each applicant must complete this form with the application

General Applicant Information

  1. Full legal name of your company/organization. Provide proof of current status, (i.e., certificate of status) and constituting documents (i.e., articles of incorporation or letters patent, etc.), which indicate the full and proper name of the organization as well as the proper signatories to the agreement.

_______________________________________________________

  1. Type of legal entity:

check box  Sole Proprietorship      

check box  Partnership                               

check box  Corporation                 

check box  Other______________________

  1. Do you have a parent company?              check boxNo     check boxYes If yes, please provide name and address:

____________________________________________________________

  1. Do you have other related companies?     check boxNo     check boxYes If yes, please provide name and address:

____________________________________________________________

  1. Attach a list of owners and directors (if applicable) of your company/organization
    (use a separate sheet).

  2. 6 Does your company/organization have an interest in any of the companies/organizations listed as co-applicants?     check boxNo     check boxYes   If yes, please list separately the project partner, the percentage interest, and whether there are consolidated financial statements available.

  3. What is your financial contribution towards the project?
    Eligible cash $ ________________         Ineligible/In-kind $ ________________

Partnership Requirements
Upon approval of the project, each partner will be required to sign an Agreement with the Province of Ontario. Each partner shall be jointly and severally liable (each completely and individually liable) to the Ministry for the fulfillment of the obligations of the partners under the Agreement

.Each partner signing the Agreement with the Province of Ontario is required to have comprehensive general liability insurance with coverage for at least $2 million per occurrence. This insurance must show the Province (Her Majesty the Queen in right of Ontario) as an additional insured on the policy and contain the endorsements specified by the Agreement and is required throughout the term of the Agreement.

Confidentiality
Application forms and supporting material submitted to the Province of Ontario will be subject to the Freedom of Information and Protection of Privacy Act. Any information submitted in confidence should be clearly marked "CONFIDENTIAL" by the applicant. Inquiries about confidentiality should be directed to the RED Program.

Consent
All applicants hereby consent to inspection of their premises and/or documents that pertain to this project as described in the agreement by the Province of Ontario or its designate. Successful applicants consent to having their names, funding amounts and short summaries of their projects and results made available to the public.

Certification
I hereby certify to the Province of Ontario that the application and supporting documentation are true and complete in all respects.

Name (print):_______________________________

Title: _____________________________________       

Organization: ____________________________

Signature: _________________________________       

Date: __________________________________

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Section 9. Other Information and Final Check List

Before submitting an application, we recommend that you complete the following checklist to ensure that your application is complete and ready for submission:

check box I have read the Program Guidelines for a RED grant application.

check box I have completed all of the sections required in the application and attached additional information if applicable.

check box I have attached letters of support that endorse the project in principle.

check box I understand and warrant that all work on the project shall be carried out in compliance with all federal, provincial or municipal laws or regulations, or any orders, rules or by-laws related to any aspect of the Project.

check box I have given copies of the application to all of my co-applicants and obtained their approvals and completed General Company Information, Confidentiality, Consent and Certification Forms. The declaration for each of my co-applicants has been signed by a person with designated signing authority.

check box I understand that if successful each of the applicants will be required to sign an Agreement with the Province of Ontario which specifies the terms and conditions of funding. A copy of the Agreement is available on our website at www.ontario.ca/rural. It is strongly recommended that all applicants review a sample Agreement prior to approval and to seek legal counsel regarding the terms and conditions of the Agreement.

check box I have attached either one unbound copy of the completed application and answered all of the applicable questions and requests for information or submitted the application by email. An electronic copy of your submission, if available, should be sent to the Project Analyst assigned to your file.

check box I understand that it will take up to eight weeks to review my application prior to the review and approvals process, which may require additional time, under the Rural Economic Development Program.

Applications must be submitted to:

Working Together For Success

Rural Economic Development Program
Ontario Ministry of Agriculture, Food and Rural Affairs
1 Stone Road West, 4 NW
Guelph, ON N1G 4Y2
Tel: 1-888-588-4111
Fax: (519) 826-4336
Email:red.omafra@ontario.ca
Website: www.ontario.ca/rural

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For more information:
Toll Free: 1-888-588-4111
Fax:1-519-826-4336
E-mail: rural.omafra@ontario.ca