Apply for a Wellness Coalition Grant – Wellness Coalition

COALITION GRANTS

Providing wellness related funding.

APPLICATION DEADLINES

Fall Round: October 3 @ midnight
Winter Round: February 3 @ midnight

ELIGIBILITY
You are eligible to apply for project funding from the Coalition if you meet all the following requirements:

Your group/organization is a member of Wellness Coalition-Avalon East
Your group/organization is not-for-profit
Your project is taking place and targets an audience located within the boundaries of Wellness Coalition-Avalon East
You are partnering with at least one other group/organization (outside of your group) to implement the project
Project start date is at least 4 weeks after the grant application deadline.
You have submitted reports and receipts from previous projects funded by Wellness Coalition-Avalon East

INSTRUCTIONS FOR COMPLETION

You are strongly encouraged to read the Wellness Grant Guidelines before beginning your application.

The online form must be completed in one sitting. You cannot partially complete the application, save the information and return to it later. We advise that you prepare the answers to the application questions in a Word document, then copy it to the online form. Save the Word document so you have a copy of your application.

Grant Application

APPLICANT INFORMATION

Mailing Address (include postal code)

Website

CONTACT PERSON #1

Position/role

Phone

CONTACT PERSON #2

Position/Role

Phone

Briefly describe your organization’s mandate

PROJECT NAME

WELLNESS PRIORITY AREAS: Your project must address one or more of the priorities. Descriptions of each priority are available in the Wellness Grant Guidelines. Check the main priority(s) that your project will focus on. (Required)

PROJECTED START DATE

PROJECTED END DATE

PROJECT DESCRIPTION: Give a brief summary of your project. Include the goal or purpose and the outcomes you hope to achieve. (Required)

Target Group: Who is the project intended for? Are they involved in planning the project? (Required)

Number of participants: How many will attend? How many do you hope to reach? (participants, volunteers, etc.) (Required)

Describe the details and activities of the project. What do you plan to do? How often? How will you do it? (Required)

PARTNERSHIPS: Who are the partners or resource people for this project? What are they doing to help? (Required)

Partner 1 contributions:

Planning and consulting on project activities/resources/evaluation Providing staff or volunteers to help deliver or carry out the project Providing resources, materials, or equipment Providing free meeting or event space Providing funding or discounted services Administering project funds (if the applicant does not have a bank account)

If other, please specify

Additional details about an item above

Partner 2

Partner 2 contributions:

Planning and consulting on project activities/resources/evaluation. Providing resources, programs, materials, education and/or facilitation. Providing staff or volunteers to help deliver or carry out the project. Providing space, equipment, or additional funding. Administering project funds (if the group does not have a bank account). Other

Partner 3

Partner 3 contributions:

If other, please specify

EVALUATION: How do you know you achieved your intended outcome? How will you know you impacted the wellness priority(s) checked above? What information will you collect to show that the goal or outcome has been achieved? What sources of feedback/information will you use and how will you get it?
Check the following sources of feedback you intend to seek (Required):

Type of Information. Check the type of information you plan to collect. You can collect both. (Required).

Quantitative – Use this if you want to know Who, What, When, and Where. This is reported using numbers and means anything that can be counted or measured. E.g. number of participants or locations, number of sessions or activities delivered, number of social media impressions, amount of produce grown, number of brochures distributed. Quantitative – Use this if you want to know Why or How. This is reported using words and means anything that can be described or observed. E.g. participant’s experiences, skills or knowledge that was learned, or how behaviours changed.

Please add anything else you would like us to know about the Evaluation.

ADDITIONAL COMMENTS OR INFORMATION

How do you plan to acknowledge WCAE’s contribution? (e.g., in media interviews, press releases, event signage, publications, social media). Required

BUDGET: The budget should reflect the total cost of carrying out the project, identify the items needed, and the sources of funding for that item. The total from the three sources should add up to the total cost of the budget item. You can have an item that will use all three funding sources. Check the guidelines for eligible items and amounts. (Required.)

item

Total Cost

Requested from WCAE

Other Cash

In-Kind

Item

Total Cost

Requested from WCAE

Other Cash

In-Kind

Item

Total Cost

Requested from WCAE

Other Cash

In-Kind

Item

Total Cost

Requested from WCAE

Other Cash

In-Kind

Item

Total Cost

Requested from WCAE

Other Cash

In-Kind

Item

Total Cost

Requested from WCAE

Other Cash

In Kind

Total Cost of Project

Total amount requested from WCAE

AUTHORIZATION

We acknowledge that this application was completed with true and accurate information. If we are successful in receiving funding from Wellness Coalition-Avalon East, we will: use the funds as outlined in this application, acknowledge Wellness Coalition-Avalon East as a project funder, complete a final report and return copies of receipts within one month of completing the project, sign a release form giving the Wellness Coalition-Avalon East permission to use pictures and allow Wellness Coalition-Avalon East to share project information with its members and interested groups via reports, website, social media, presentations or other formats.

Grant Application

Application form