MANITOBA LIVESTOCK MANURE MANAGEMENT INITIATIVE INC.

APPLICATION FOR FUNDING OF A RESEARCH, DEVELOPMENT OR DEMONSTRATION PROJECT

Date Received / File Number
For MLMMI Administrative Use Only

Attention: Executive Director

Forward a single copy of theManitoba Livestock Manure Management Initiative Inc.

completed application (no additional812 - 401 York Avenue

materials will be considered) to:Winnipeg, MB R3C OP8

Telephone:(204) 945-2122Email:

Facsimile:(204) 945-14891Website:

SECTION A: General Information About the Applicant and Main Contact
Applicant’s Name / Main Contact (if different than applicant)
Applicant’s Organization & Department / Main Contact’s Organization & Department (if applicable)
Contact details should be provided for the Main Contact if different from the Applicant
Mailing Address
City/Town, Province/State, Postal Code/Zip Code, Country
Telephone / Facsimile
E-Mail Address / Website

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SECTION B: General Information about the Project
Project Title
Project Key Words (ten, if possible)
Project Duration:less than 1 year /1 year /2 years /3 years /more than 3 years
If less than 1 year, more than 3 years, or an uneven number of years, how many months/years? ______
Project Type:Research /Development /Demonstration
Livestock Type:Pig / Chicken / Beef / Dairy / Other (specify): ______
Project Location(city/town/RM, province/state, country)– provide a site map if applicable
Total Project Budget (from Excel budget table)
$ / Funds Requested from MLMMI (from Excel budget table)
$
Has this project or a predecessor of it been submitted in the past, or is it submitted currently to another agency for funding? Yes No
If yes, to what agency was it funded, and at what level? Use the space below to elaborate.

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SECTION C: Project Details
For assistance on completing this Section, please refer to the ‘Guidelines for Completing an Application for Funding of a Research, Development, or Demonstration Project’
What problem or issue does the project address?
Describe the need to undertake the project and explain why it is a priority for the livestock sector (i.e. Describe its benefit/public good).
Describe how the project is unique and innovative.
Is this project an extension of existing research?
List the project objective(s) and, if applicable, sub-objectives
Project Description: Describe the project, the methodology required to conduct it, and details of how data will be collected and analyzed. List the activities that will help achieve the project objectives. *Please refer to the ‘Guidelines for Completing an Application for Funding of a Research, Development, or Demonstration Project’’ prior to completing this section.
Project Description (Continued, if necessary)
Project Description (Continued, if necessary)
Timetables/timelines for completion of this project:In detailed point form or table form outline the project timeline for objectives, experiments, or division of labour as described in the project description, i.e.: What date is planned for each task? How long will each task take to complete?
Expected Impact and Significance: Describe the expected impact and significance of the proposed project on livestock manure management in Manitoba.
Evaluation and Performance Measures: Performance measures, based on your project objectives, should be developed to help determine whether your project has been successful. How will the project’s success be evaluated?
Identify project deliverables that will be used to demonstrate project success, including outcomes*. Deliverablesshould be specific, achievable, realistic, time bound, and both quantitative and qualitative.
*Outcome refers to the change(s) that occurred against baseline data as a result of providing the outputs; although difficult to measure it may more accurately indicate project success (ex. calculated percent reduction in greenhouse gas emissions as a result of number of trees planted).

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SECTION D: Communications Strategy
How will you communicate information and results of the project to the community? (ex. news release, public events, newsletter, website, reports)
What are your communications objectives, principles, and key messages?
Who makes up your target audience(s), ranked by importance?
How do you plan to evaluate the success of the communications plan?
What efforts will be applied to acknowledge the MLMMI’s investment in the project?

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SECTION E: Projected Budget and Budget Details
Please see the Excel portion of the Application and fill out the budget table provided. You may use this space to explain any added details behind the requested funds in the ‘Projected Budget’.

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SECTION F: Authorization, Terms, and Conditions

Co-applicants and Co-operators: Co-applicants and co-operators indicate by their signatures below that they and, if applicable, their organizations agree with the terms and conditions set out by MLMMI for the receipt and assessment of this application, and they agree further that the applicant or contact, if applicable, named heretofore will administer this project if it is funded by MLMMI.
Co-applicant / Co-operator / Signature ______Date ______
Co-applicant / Co-operator / Signature ______Date ______
Co-applicant / Co-operator / Signature ______Date ______
Applicant: The applicant indicates by his or her signature below that he or she has read the MLMMI Guidelines for Completing an Application for Funding of a Research, Development, or Demonstration Project, that he or she agrees with the terms and conditions set out by MLMMI for the receipt and assessment of this application, and that he or she understands and agrees that MLMMI may discuss this application for funding with other funding agencies to assess the opportunity for shared funding and/or for optimizing the joint resources of MLMMI and other funding agencies. Any restrictions requested by the applicant on the above discussions are set out in the space provided below. By their signatures, the Department or Section Head, the Dean or Director, and other persons authorized to sign on behalf of the applicant’s organization indicate their agreement with the MLMMI terms and conditions for the receipt and assessment of this application, for the execution of this project, and unless there is a formal agreement otherwise, acknowledge the MLMMI right to publish, distribute, and/or otherwise communicate the interim and final reports for this project on its website, and by other means, if it is funded by MLMMI.
Restrictions (if any) Requested on Discussion of this Application
Applicant
______
Signature Date / Department or Section Head
______
Signature Date
Dean or Director
______
Signature Date / Authorized Representative of Organization
______
Signature Date
SECTION G: Personal Data of the Applicant
Surname / Given Names / Position in Organization
Department (if applicable) / Organization
City or Town / Province or State and Country / Postal or Zip Code
Telephone / Facsimile / E-Mail Address
Past Experience of the Applicant Relevant to the Project

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SECTION G: Personal Data of the Applicant
First Degree, Certificate, or Diploma Obtained / Institution
Second Degree, Certificate, or Diploma Obtained / Institution
Third Degree, Certificate, or Diploma Obtained / Institution
Fourth Degree, Certificate, or Diploma Obtained / Institution
Publications and Patents
a)Total number of refereed papers ever published in refereed journals ______
b) Total number of all papers, articles, technical reports ever produced ______
c) Total number of patents obtained ______
More on Publications and Patents (you may append an additional page if needed)
a) List, to a maximum of five, refereed papers and other papers, articles, and technical reports produced in the past five years and selected for relevance to the project using the same authorship seniority as the original document.
b) List all patents obtained.
c) List all other evidence of productivity during the past five years as relevant to the project.
Applicant’s Signature / Date

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