JAYS CARE FOUNDATION GRANTS PROGRAM

APPLICATION FOR FUNDING

Please ensure that you have read the Application Guidelines in full prior to submitting your Application for Funding. Thank you!

Date of Application:

2011 Grand Slam Grant Application

A1. ADDRESS AND CONTACT INFORMATION:

Organization Name:

Project Name:

Registered Charitable / Non-profit Status:

(Please check the one that applies)

A. Registered Charitable organization

Charitable Registration Number:

B.  Incorporated not-for-profit entity

Year of incorporation:

C. Unincorporated organization with an affiliation with a registered charity or non-profit organization (Affiliated Registered Charity: )

Contact Name:

Contact Title:

Address:

Telephone:

Fax:

Email:

Website:

A1. CATEGORIZATION OF FUNDS

Total amount of Jays Care Foundation funding requested:

$

Indicate the area/s of the JCF mission that your proposal addresses:

Physical Activity Educational Initiatives Life Skill Development

Indicate what your application is primarily for:

Operational/Administrative Funding

Project/Program Specific Funding

If you have previously applied for funding from the Jays Care Foundation please provide date of application:

A2. TARGET AUDIENCE

How many people does your organization reach or serve in each of the following categories?

Children (newborn-12 years old) Youth (13-24 years old)

Adults (25-64 years old) Senior (65 years old +)

NB: include information such as number of people using your services; number of people attending an event but avoid duplication. For instance, if you offer a program in which people participate regularly only indicate the number of different people reached.

A3. VOLUNTEER INVOLVEMENT

Indicate the number of active volunteers and that contribute to your organization:

Children Youth

Adults Seniors

Does your organization actively engage children and youth in the planning and execution of your organizational activities or programs?

A4. STAFF INVOLVEMENT

Indicate the number of staff and their job titles:

Number of Full-time staff: Job Titles:

Number of Part-time staff: Job Titles:

B1. ORGANIZATIONAL OVERVIEW

State your organizations mission and mandate:

Describe your organization’s typical activities:

Indicate your organization’s primary audience for each of your programs, activities and/or services:

Describe your organizational reach to children and youth within your community:

B2. SIGNIFICANCE OF ALL STRATEGIC RELATIONSHIPS AND LONG-TERM PARTNERSHIPS WITH RELEVANT ORGANIZATIONS

List any groups, organizations or corporations that your organization works with in the community (i.e. other charities, corporate sponsors, social service organizations, school boards, City officials, etc.):

Explain how your organization demonstrates willingness to work with other partners to achieve greater sustainability and shared knowledge:

Indicate your organization’s key strengths and challenges. Please note any recent examples of success or areas of opportunity.

C1. PROGRAM / PROJECT SPECIFICS

Provide a concise description of the program for which funding from the Jays Care Foundation will be used.

Please include the following:

-  Key issue/s to be addressed

-  Goal of your project

-  Total children/youth served from program/project

-  Which neighbourhood will the program/project serve

-  Specific purpose of the funds requested

-  What makes this project unique

-  What volunteer opportunities exist for employee’s of Jays Care Foundation, Toronto Blue Jays and Rogers with the program/project

-  How will success be measured

-  How will donors be recognized

D1. FINANCIAL STATEMENT & SUPPORTING MATERIALS CHECKLIST

Provide an itemized breakdown of your organizational budget and project specific budget.

Provide a copy of the T3010A Registered Charity Information Return from Canada Revenue Agency.

Provide a copy of the organization’s Audited Financial Statements.

Provide a complete listing of Board of Directors with respective titles and contact information.

Provide a current Annual Report, if available.

Provide 3 (three) recommendation/support letters from other organizations and or individuals you are currently working with or have worked with in the past. This may include one or two parents whose children have participated in your programs.

D2. DISBURSEMENT GUIDELINES

-  All successful applicants must sign the Letter of Agreement prior to receiving funds from Jays Care Foundation.

-  No multi-year commitments will be considered unless there are circumstances where it is determined that a significant impact can be made through a multi-year commitment.

-  Grants will be awarded to a maximum of $50,000.00 per organization (pending available funds). However, successful grant applications may only receive partial funding. Grants of $50,000.00 will be the exception and may be considered (pending available funds) for those tangible or one-time capital improvements or youth space opportunities.

-  Successful applicants must file a self-assessment Post Grant Report with the Toronto Blue Jays’ Care Foundation within ninety (90) days after the completion of the project the final report shall evaluate the success of the project and include the budget that itemizes how funds were utilized.

-  Organizations who have received funding from the Jays Care Foundation in previous years, must re-submit a proposal to be eligible for repeat grants.

-  Future funding requests will not be considered from organizations with outstanding Post Grant Reports.

D3. DECLARATION

I confirm that the information contained in this application and the accompanying documents is true, accurate and complete. I acknowledge that if this application is approved, I will be required to enter into a formal, legally binding agreement with the Toronto Blue Jays’ Jays Care Foundation that will outline the terms and conditions of the grant.

Name and signature of the chair or president of Board of Directors:

Name: Title:

Signature: ______Date:

Please complete and submit five (5) copies to:

Jays Care Foundation – Grand Slam Grants

Attn: Brendan Mohammed
One Blue Jays Way, Suite 3200

Toronto, ON M5V 1J1

Should you have any questions or inquiries with respect to this report, please contact Brendan Mohammed, Manager of Programs and Outreach for the Jays Care Foundation at 416-341-1170 or via email at .

JCF GRANT APPLICATION – Page 5 of 5