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):
English
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:
-
Names of contact: ____________________________________________
Ministry Name: ______________________________________________
-
Names of contact: ___________________________________________
Ministry Name: _____________________________________________
-
Names of contact: __________________________________________
Ministry Name: _____________________________________________
-
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:
Community
Revitalization
Access
to Healthcare Services
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:
_______________________________________________________________
Deliverable of the Project:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Proposed Project Start Date
(month/year): __________________________
Proposed Project End Date
(month/year): __________________________
| Top of Page |
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:
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Year 1
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Year 2
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Year 3
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Year 4
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Q2
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Q3
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Q4
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Q5
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Q6
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Q7
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Q8
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Q9
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Q10
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Q11
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Q12
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Q13
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Q14
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Q15
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Q16
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| Top of Page |
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:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
| Top of Page |
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)
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Longer Term
(2 to 5 years after Project) |
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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
($) |
Total
Costs
($)
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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 |
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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
($) |
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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
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: __________________________________
| Top of Page |
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:
I have read the Program Guidelines for a RED grant application.
I have completed all of the sections required in the application
and attached additional information if applicable.
I have attached letters of support that endorse the project
in principle.
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.
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.
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.
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.
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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