Kingsville Community Grant Fund Application

Logo Kingsville Ontario

Note to Grant Funding Applicants

Please read the Kingsville Community Grant Fund Policy before completing your application. To request a paper copy of this application, please email Requests@Kingsville.ca. The deadline for submission is November 30 each year.

General Information

Name of Organization / Group / Project

Contact Person

Email Address

Phone Number

Street Address

City, Town, Village

Province/State

Postal/Zip

Information About Your Organization

Type of Organization (select one)

Registered Charity

Incorporated Not-for-profit

Other

Number of Volunteers in Organization

Number of Paid Employees in Organization

Amount of Funding Requested

Amount of Cash Grant

Type of Grant and General Grant Information

Description of Project/Service Provided by Organization

Has your organization received a grant in previous year(s)?

Yes

No

Program / Event / Project Details

Briefly Explain the New Program, Event or Project to be Provided by Your Organization

Benefit to the Town of Kingsville

Is your organization based in the Town of Kingsville?

Yes

No

How will your organization benefit the Town of Kingsville?

What is the anticipated number of Town of Kingsville residents participating or benefiting from the project or service?

Demographic Information

Council reserves the right to request membership lists, etc. to support demographic information provided.

Number of Town of Kingsville residents using the service/participating

Total Number of persons using service/participating

Percentage Benefit to the Town of Kingsville

Grants From Other Municipalities

Have you applied for a grant from another municipality?

Yes

No

Financial and Other Information

Would you like to include a budget or additional financial information?

Yes

No

Disclaimer and Signature

I/We certify that the information contained in this application is true and complete
to the best of my/our knowledge.

Name 1 and Position

Do you want to add a 2nd name?

Yes

No

Signature 1

Clear