Program Guidelines and Grant Application Form

In This Section

Topics

Program Guidelines and Grant Application Form

Author:	OMAFRA Staff
Creation Date:	31 January 2007
Last Reviewed:	16 May 2008

Pre-proposal Forms

1. Pre-proposal Summary

Applicants are invited to submit a pre-proposal summary of their project to the Rural Economic Development Program to obtain information on the eligibility of their project for funding and feedback from staff on the fit of their project with published project criteria.

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

A. Contact Information

Title of Project: _______________________________

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: ___________________________________________

Names of all co-applicants (List additional co-applicants on a separate sheet):

Names of all Co-applicants: ________________________________________

Organization Name: ______________________________________________
Names of all Co-applicants: ________________________________________

Organization Name: ______________________________________________
Names of all Co-applicants: _______________________________________

Organization Name: ______________________________________________
Names of all Co-applicants: ________________________________________

Organization Name: ______________________________________________

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: ____________________________________________________

| Top of Page |

B. Description of Proposed Project

Type of Project:

Community Revitalization

Access to Healthcare Services

Skills Training and Enhancement to Healthcare Services

Summary of Proposed Project

_________________________________________________________

What are the objectives of your project?

_________________________________________________________

What are your expected results? What will your project achieve?

_________________________________________________________

How will you know you achieved your objectives? How will you measure your progress?

_________________________________________________________

Proposed Project Start Date ______________________________

Proposed Project End Date _______________________________

| Top of Page |

C. Uses and Sources of Funding

Uses and Sources of Funding
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

Sources of Funding
Sources of Funding	Contribution Amount $	Contribution % of Total
Applicant/Co-applicants contributions
1.
2.
3.
Other private sources including supporters
1.
2.
Other public (government) programs
1.
2.
RED Funding Requested
Total

| Top of Page |

D. Certification

As the Lead Applicant, I hereby certify to the Province of Ontario that the information contained in this pre-proposal are true and complete in all respects to the best of my knowledge. If the Province of Ontario discovers that this pre-proposal contains a material misrepresentation, it shall be deemed to be ineligible for funding and withdrawn immediately by the Applicants.

I agree to provide any additional information that the Province of Ontario or its authorized administrator may reasonably require for purpose of assessing this pre-proposal and administering the Program.

Lead Applicant Name (print): ___________________________________

Title: __________________________________________________________

Organization: __________________________________________________

Signature: _____________________________________________________

Date: __________________________________________________________

Please submit your pre-proposal in writing or by fax/email to:

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

| Top of Page |

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

In This Section

Topics