For Office Use Only
AGENCY
2019-
2019 Application Form Please note, Fillable .pdf’s work best when completed from your desktop rather than an internet browser. Save this form to your desktop using the file name format AgencyName.pdf below prior to completion.
All applications must be post-marked by Friday, April 14, 2019 (Midnight MT).
Successful applicants will be notified in June 2019.
Complete all sections below. When filling it out, use the “Tab” key to move to next box or click any box to select it.
Forward your complete application including all documents to: Grants & Allocation Committee Jewish Community Foundation of Calgary 1607 - 90 Avenue SW Calgary, AB T2V 4V7 email: mail@jcfc.ca For all inquires please contact: Brenda Sapoznikow, Foundation Administrator mail@jcfc.ca | 403-640-2273
Section A: General Information Organization:
CRA (Charitable Number):
Current Address: City:
Postal Code:
Phone:
Organization Type:
Province:
Years Established:
Email: Have you applied for a JCFC grant before? If YES: Project Name: Year: Amount Awarded: $
Section B on the next page...
Country:
Yes
No
For Office Use Only
2019Section B: Organization Contact Person Name:
Position:
Address: City:
Province:
Phone:
Email:
Attach an official Organizational Mandate. Describe Organizations Mandate:
2019 Agency Application Form
Postal Code:
For Office Use Only
2019Section C: Project Project Title: Planned Start Date: Number of individuals who will benefit from this project:
Project Summary
Project Activities
Project Benefits
2019 Agency Application Form
Planned End Date:
For Office Use Only
2019Section D: Proposed Financial Budget »» A general outline of costs to complete the project or program. »» Enter amounts into the blue boxes.
INCOME
EXPENSES
INTERNAL FUNDING
PROJECT COSTS*
Company Contribution:
$
Other:
$
TOTAL INTERNAL INCOME
$ 0.00
$
TOTAL EXPENSES
$ 0.00
SHORTFALL (Surplus is shown as negative number)
$ 0.00
EXTERNAL FUNDING Government Grants:
$
Foundation Grants
$
Donor Contributions:
$
Events in support of project:
$
TOTAL EXTERNAL INCOME
$ 0.00
TOTAL INCOME
$ 0.00
* Provide detail budget for project costs
Section E: Supporting Information Please supply the following supporting documents with application. List of Board Members Annual Report Letters of Support or References
2019 Agency Application Form
For Office Use Only
2019-
Section F: Certification I verify that all the information on this form is true and complete to the best of my knowledge. If requested, I agree to provide additional information.
Applicant Signature: Applicant Name (printed): Date:
Notice: All applications become the property of the Jewish Community Foundation of Calgary and may be reproduced or published by the Foundation. The deadline for entries is midnight MST, April 14, 2019. We reserve the right to consider late entries.
The JCFC reserves the right to not award a prize if, in the opinion of the judges, none should be awarded. Inquiries may be directed to JCFC via email to mail@jcfc.ca or by telephone to 403-640-2273. Please note: make sure to include all documents requested throughout the applications then email to mail@jcfc.ca, Attention: Brenda Sapoznikow, Foundation Administrator.
2019 Agency Application Form