Application Deadline: January 16, 2017

(Applicants are required to complete all sections)

PART 1: / General Information
Name of Organization: / Contact Person:
Address: / Phone #
(1): (2):
City: / Postal Code: / Email:
Describe Your Organization:
# Staff: / # Board Members / # Volunteers / Is your organization: Incorporated
(pleasehighlight orunderline) Registered non-profit
Unregistered non-profit
Explanation of Volunteer Involvement:
PART 2: / Special Event Grant
Name of Special Event
How was your special event identified as a community need and priority? Please describe why your organization requires support for your special event:
Please describe how your special event supports the City of Saint John in its ongoing pursuit to be a community of choice for residents and visitors:
Outcomes: What are the specific outcomes to be achieved?
What other community partners, sponsors and stakeholders are supporting your event?
Date of Event:
From: / Date of Event
To: / Projected #
Participants / Attendees / What is your calculated Return on Investment Associated with the Project? $ Value =
Amount requested:
$ / Request for “in-kind” Support: (list) (Examples: facility, set-up, breakdown, barricades, pylons, etc.)
PART 3: / Additional Information Required
Financial Documentation Requirements: (i) most recent organization financial statements.(ii) Project/Event Budget Sheet – refer to “How to Complete the Project / Event Budget” below.

How to Complete the Special Event Budget in the Application Form

Every grant application has two (2) financial parts; the first is a financial statement for the organization(s) applying for funding, the second is a budget for the particular special event for which you are requesting a grant. For both types of financial documents, organizations should identify other funding sources which they have secured in support of their organization and special event. The budget part of the application forms look like the sample below.

Special Event Budget
Estimated Event Funding / Estimated Event Costs
Type of Event Income / $ Amount / Type of Event Expense / $ Amount
CSJ Grant Requested / $ / $
CSJ In-kind Assistance / $ / $
Province of NB Assistance / $ / $
Federal Gov’t Assistance / $ / $
$ Share of Event Budget of grant applicant / $ / $
Event Income (fees, rental, admission etc.) / $ / $
Other Sources (Specify)
Other / $ / $
Other / $ / $
Other / $ / $
Total Estimated Income for Special Event / $ / Total Estimated Cost of the Special Event / $
Note: If $ are not confirmed mark with an * / Difference between income and expense / $

Organizations should also list in-kind support (example: materials, goods, gratuitous services rendered, etc.) – Indicate below outside budget sheet.

I hereby declare the information provided in this application to be true and accurate to the best of my knowledge.
Name:
Title:
Date:

Receipt of applications is preferable electronically at

and must be received or postmarked no later than 4:00 p.m., January 16, 2017

Applications by fax will not be accepted.

Mail: Hand delivery:
Community Grants ProgramCommunity Grants Program ORCommon Clerk’s Office
c/o Parks & Recreationc/o Parks & Recreation8th Floor, City Hall
City of Saint John171 Adelaide Street

P.O. Box 1971
Saint John, NB E2L 4L1

APPLICATIONS RECEIVED OR POSTMARKED LATER THAN 4:00 pm, January 16,2017.

WILL NOT BE CONSIDERED.

Questions?

Parks and Recreation

Lori Lambert, Community Liaison

Telephone: (506) 658-4521

E-mail:

City of Saint John web site: