Trust Grant Application

* Please read the guidelines carefully when applying for the grants as the Heritage Green Community Trust can only provide funding to organizations that qualify within specific limits.

* Any organization receiving a grant from the Heritage Green Community Trust will be ineligible for further grants for a period of two(2) years from the date of receipt of the grant. Grant recipients will be required to comply with terms and conditions as set out in Guidelines for Grantseeks document.

Your name

First Name

Last Name

Your address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your email address

Your phone number

(###)

###

####

Contact or Project Manager

Charitable registration (If any)

Date of founding

YYYY

Mission statement/Statement of purpose (If any)

Service Boundaries (where do you provide services)

History of organization

List of current Board Members and Officers including addressees, telephone numbers and positions

Number of paid staff (full-time and part-time if any)

Number of volunteers (involved in the organization)

Describe the project for which a Grant from the Heritage Green Community Trust is requested. You may wish to give your project a title or name.

Amount requested from the Heritage Green Community Trust Fund ($)

Total amount required for the project. Will other funding be required to complete this project?

When will the funds be required?

YYYY

Have funds been previously receivedfrom the Heritage Green Community Trust Fund?If so, when were they recieved?

Amounts recieved from other funding sources (identity sources and amount)?

Who will receive the money and to who will the cheque be payable to if funding is received from the Trust?

Describe the short term and long term results/benefits of the project?

What are the barriers to these anticipated results/benefits and how will they be overcome?

Who will be served by this project? This project must directly benefit the Community of Upper Stoney Creek to qualify for funding.

How many people will be served?

Are any other organizations involved in the project?

How/when is the project to be implemented?

Proposed start-up date

YYYY

Proposed completion date

YYYY

How will the project be monitored and the results evaluated?

Provide references from the community

DOCUMENTATION Needed

In addition to filling out and submitting the form above please provide the following documents to the Trust Administrator by email to [email protected], by mail or in person at the the GFL Environmental Stoney Creek Regional Facility, 65 Green Mountain Road W., Stoney Creek, ON. L8J 1X5;

Copy of the most recent (audited) financial statements
Copy of the current annual budget, the most recent monthly/quarterly operating statement and the budget for this project (including list of expenditures and revenue if applicable)
Copy of the incorporation document, where applicable
Copy of the document confirming charitable registration status, where applicable
Copy of the latest annual report and/or general information brochure
Document listing how the organization intends to publicize the funding recieved from the Heritage Green Community Trust

*The Trust Administrator will send you an email to confirm receipt of your grant application and the required documents.