PROJECT SUBMISSION FORM

2006-2007

NEW BRUNSWICK PROGRAM ON THE PROVISION OF OFFICIAL-LANGUAGE SERVICES (POLS)

Project Number (for DIIR use only)

NOTE

Departments, institutions, or organizations interested in submitting a funding application under this program are advised to read the program parameters carefully and to pay special attention to the selection criteria for the proposed activities or projects.

PROJECT PROPONENT:
Name of department or agency:
Name person in charge of project implementation:
Mailing address:
Telephone:
Additional telephone number:
Fax:
E-mail:
Web site:
1. Project title:
2. Brief description of project:
3. How does this project differ from projects submitted in the past under official languages programs and how will it enable the province of New Brunswick to attain the objectives set out in its action plan?
4. Is your project longer than one year in duration? Specify in terms of desired results and funding.
5. List the main beneficiaries and sustainable long-term impacts:
6. Indicate project exposure after the POLS funding period.
7. Indicate provincial scope of direct benefits of the project:
8. List the partners and collaborators:

9. Have you ever received financing under the official languages program?

Yes  No 

If yes, how much in total: $ For which year (s) :

Using your analysis of the attached action plan, check off the priority area of the program and activity sector to which your project belongs.

❏ Focus 1:
Strengthen the political, legislative, and administrative framework / ❏ Focus 2:
Support the development, planning, and provision of services in French in priority sectors / ❏ Focus 3:
Ensure communication, formal consultation, and meaningful participation of the community / ❏ Focus 4:
Support programming of the school/community centres in the province
Activity sectors
Focus 1:
1.1 LOCAL GOVERNANCE AND ADMINISTRATIVE FRAMEWORK
1.2 MANAGEMENT AND ACCOUNTABILITY FRAMEWORK / Activity sectors
Focus 2:
2.1 HEALTH AND WELLNESS
2.2 EARLY CHILDHOOD
2.3 LITERACY
2.4 YOUTH
2.5 LANGUAGE INDUSTRY
2.6 JUSTICE
2.7 PROMOTION OF FRANCOPHONE ARTS AND CULTURE
2.8 LANGUAGE PLANNING
2.9 IMMIGRATION / Activity sectors
Focus 3:
3.1 SPECIAL EVENTS
3.2 COMMUNITY CONSULTATION AND PARTICIPATION
3.3 BRINGING BOTH COMMUNITIES CLOSER TOGETHER / Activity sectors
Focus 4:
4.1 ADMINISTRATION
4.2 SERVICES
4.3 FRANCIZATION
4.4 PROGRAMMING
4.5 YOUTH
4.6 COMMUNICATION / INFORMATION

Complete the table below for each project submitted

Objective(s)
Activities planned for 2006-2007
Expected results upon completion of project
Performance indicators
Detailed budget including anticipated expenditures and revenues for 2006-2007
(Please indicate the amount required under the POLS program)
Detailed budget including anticipated expenditures and revenues for future years, if applicable.

Have all reports been submitted for the contributions received in 2005-2006 under the official languages program? Yes  No 

Have you sent a copy of your statutes and /or policies to the department of Intergovernmental Affairs? Yes  No 

______

Signature of project manager

______

Name (please print)

______

Title

______

Signature of authorities in the

department or agency responsible for the project

______

Title

______

Date

Please note that projects submitted by a department or agency that has not turned over all of the reports required for the previous year will not be eligible for funding in 2006-2007.

Project proposals should be sent to:

Gilbert Losier, Official Languages Programs Officer

E-mail:

Department of Intergovernmental Affairs

P.O. Box 6000, Room 118, Centennial Building, Fredericton, New Brunswick E3B 5H1

Tel.: (506) 444-4948; Fax: (506) 444-5612