Community Grant Application

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Community Grants Application Form

Joey Moss Memorial Fund (JMMF)
Primary Details
Organization Name
Contact Name
Position Title
Email
example@example.com
Title of Project
Phone Number
Please enter a valid phone number.

Eligibility
Is your Organization a non-profit serving Alberta?

Yes No
Does your organization have a Charitable Registration Number from Canada Revenue Agency (CRA)?

Yes No
Charitable Registration Number (e.g. 123456789RR0001)
I understand that the information entered in this application will be shared publicly, as open data.

Yes No
How did you hear about the Joey Moss Memorial Community Grants Program?

Address
Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Website

Summary of Request
Summary of Request
How many people will directly benefit?
Funding Amount Requested from JMMF
Total Project Cost
Anticipated Project Start Date

Month Day Year
Date
Date Funding is Required

Month Day Year
Date

Application
Organization:
*Who are you?* Provide a brief background on your organization, its mandate, and its services.
Organization (suggested word limit 100-200)
Description:
*What will you be doing?* Describe your program, project, or initiative. Explain how the initiative will further your mandate.
Description (suggested word limit 100-200)
Priority:
*Why is this important?* Describe the expected benefits to your clients, the community, or your organization. If your request is for *financial support of an existing program*, outline who are the current financial supporters and why JMMF support is needed at this time.
Priority (suggested word limit 100-200)
Success:
*How will you know if you have been successful?* How do you anticipate incorporating learnings from this initiative into this or other programs?
Success (suggested word limit 100-200)
Collaborations:
*Who else will be involved with the initiative?* Outline your expected partners and their roles.
Collaborations (suggested word limit 100-200)
Community:
*Who else is doing similar or related work?* Describe how your program will leverage the work others are doing to address the community’s challenges strategically and cooperatively. If you are applying for programming costs, focus on the specific program. Otherwise, think about your organization as a whole.
Community (suggested word limit 100-200)
Timeline:
*When will the initiative happen?* Outline the timeline for major steps.
Timeline (suggested word limit 100-200)

Budget & Supporting Documents
Budget:

Please attach a detailed project/ program budget with revenue and expenses.
Budget

Cancel of
Audited Financial Statement:

Please attach the most recent audited financial statement.
Audited Financial Statement

Cancel of
Other:

Please upload any other supporting doucments you would like to be added.
Other

Cancel of
Should be Empty:

Community Grant Application

Community Grants Application Form

Primary Details

Eligibility

Address

Summary of Request

Application

Budget & Supporting Documents

Our Supporters

Location

Hours

Contact