INDCI COMMUNITY FUND APPLICATION

Charitable / Non-Profit organization name:

Select one of the following:

☐ The charitable registration number belongs to my organization

☐I have provided a letter confirming my non-profit status – Letters of Incorporation

Does the organization associated with the proposal serve to promote Italian art, culture and language in Ontario?

☐ Yes☐ No

Organization operating budget

☐Less than 500K

☐Between 500K-1M

☐Between 1M-2M

☐More than 2M

CONTACT INFORMATION

Contact name:
Address:
Phone number:
Email address:
Organization Website:

Organization Social media:

  • Twitter
  • Facebook
  • Instagram

BACKGROUND

  1. Organization history (max 250 words)
  1. Vision and Mission (max 150 words)
  1. Current Programming and Location (max 250 words)
  1. Has your organization received past funding from INDCI?

☐Yes ☐ No

If yes, list the timing and fund amount:

PROPOSAL

  1. Program Name:
  2. Program Focus
    ☐ Italian Arts & Culture
    ☐Italian Language
    ☐ Italian Youth
  3. Program Location: In which community will the program run?
  1. Description of program (max 500 words)
  1. Is this a pilot program?

☐Yes ☐ No

  1. If yes, what gap does it fill in the community? (max 100 words)
  1. If it is not a pilot program, will funding help grow the program? Explain (max 100 words)
  1. How accessible is the program for members of the community, particularly children & youth? Are there registration fees? If yes, how much are registration fees? (max 100 words)
  1. What makes your staff/volunteers qualified to run this program? (max 150 words)

IMPACT

  1. How many people will be served by this program?
  1. How many days a week does this program run?
  1. How many hours a week does this program run?
    *Please attach the program schedule to outline the amount of days and hours the program will run.
  1. How will the outcomes be measured?
  2. Data Source:What data source will you use to measure your program results? (i.e. survey, observation tool, one-on-one interviews, etc.) (max 100 words)
  1. Outputs:What will be the tangible result of your program? (i.e. number of people enrolled, number of children/youth participating, number of community partners.) (max 150 words)
  1. Outcomes:What key issues is this program addressing and what are the expected outcomes of the program? (max 250 words)
  1. Are these outcomes urgently needed in the community you are serving? Explain (max 100 words)
  1. Does the proposed program engage other residents in the community (parents, volunteers, etc.)?If so, explain. (max 100 words)
  1. What is the projected long-term impact of the program? (max 150 words)

SUSTAINABILITY/FINANCIALS

  1. Please include proposed financials of how the funds will be used, be specific

Item / $ Amount / Timeline
(Approximate date the funds will be spent)
TOTAL:

Note: If you need more space, please provide a separate attachment in your submission in PDF format.

  1. Do your proposed financials include operational/core funding?
  1. For program costs above the amount funded by the INDCI Community Fund, has funding already been secured?

☐Yes ☐No

Explain (max 50 words):

  1. Are you seeking other funders?

☐Yes ☐No

Explain (max 50 words):

  1. Do you currently have other funders? If so, who?

☐Yes ☐No

Explain (max 50 words):

  1. Do you have partnerships that are non-monetary? If so, explain.

☐Yes ☐No

Explain (max 50 words):

FINAL REPORT(due at the end of the program)

At the end of the program, a final report is due. It must contain:

-A summary of all invoices for costs associated with the project

-# of attendees (participants and stakeholders)

-# of volunteers recruited

-# of partnerships developed

-# of media and press hits

☐I have read and accept the Guidelines for the INDCI Community Fund

☐I have provided accurate information in this application.

☐I understand that my application will not be accepted if it is submitted after the due date.

Signature:Date of proposal: