/ Serving Victims Through Restorative Justice:
Building Program Capacity
APPLICATION FORM

*Please review the Application Guide before completing this form. The Application Guidecan be found here:

A. APPLICANT INFORMATION:

PROJECT TITLE:
LEGAL NAME OF APPLICANT AGENCY:
MAILING ADDRESS:
(Street and Number)
SUITE NUMBER: / CITY/TOWN:
PROVINCE: / British Columbia / POSTAL CODE:
PHYSICAL LOCATION:
(if different from mailing address)
CONTACT PERSON:
ALTERNATE CONTACT:
TELEPHONE: / () / FAX NUMBER: / ()
E-MAIL:

TYPE OF ORGANIZATION (Identify one type only with an ‘x’):

Community Accountability Program

B. FUNDING CRITERIA:

PLEASE INDICATE HOW THE PROPOSED PROJECT MEETS THE FOLLOWING CRITERIA.
  1. FOCUS ON CAPACITY OF RESTORATIVE JUSTICE PROGRAMS IN BC
  • Proposals must clearly focus on improving the quality of service within restorative justice programs through training initiatives, in particular to enhance services to victims. Proposed training initiatives may fall under any of the following priority areas:
  • Trauma-informed practice
  • Cultural safety and sensitivity
  • Program evaluation and participant follow-up
  • Other – proposals related to other priority training areas for a particular CAP may be accepted if it meets all other criteria

  • Provide a short summary outline of the project

  • Describe the issues the project will address

  • Describe who the project will serve

  • What Are the Project’s Objectives/Goals? (list below)

  • What key activities will the project implement to meet its goals? Include project start date and end date.
Project Start Date: / Project End Date:
Activities (list below)
  • Describe how your organization is well positioned to address this issue, has the necessary resources (experience, staff, etc.) to carry out the project and has the capacity to meet the desired outcomes.

  1. LEVEL OF NEED
Proposals must demonstrate aclear need for the project in their community.
Why is your project needed? Provide qualitative/quantitative evidence of the need relevant to your project, if available.
  1. RESULTS, AND MILESTONES
Proposals must outline the intended results and milestones of the project, and how results will be measured.
Please describe the anticipated results of the project?
How will these results be measured andhow will you know that the results have been achieved?
  1. BUDGET
Proposals must contain a reasonable and detailed budget. Consideration will be given tothe scope and reach of the project in comparison to the amount of the budget (i.e., value for money).
Note: The budget template is attached in Part C of this application form. It must be submitted as part of the application form and indicate whether other sources of funding are also supporting the proposed initiative.
  1. ACCOUNTING AND REPORTING ON FUNDS
Please describe your agency’s method of accounting for CFO grant funds.
PLEASE NOTE: AT THE END OF THE PROJECT, WE WILL REQUEST THAT YOU COMPLETE A FINAL REPORT AND ACCOUNT FOR HOW FUNDS WERE SPENT. A LINK TO THE FINAL REPORT WILL BE PROVIDED TO YOU IF YOUR PROPOSAL IS SUCCESSFUL.

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File No: Restorative Justice -FY17/18 ______

C. PROJECT BUDGET:

Amount Requested / Amount from other Sources Please include name of funding source and amount
e.g. $2,000 – Municipal Government / TOTAL Project Expenditures
Sum of columns to the left
Staff
Description:
Transportation
Description:
Materials
Description:
Equipment
Description:
Rent/Utilities
Description:
Other
Description:
TOTAL PROJECT BUDGET (sum of rows above):

TOTAL AMOUNT REQUESTED:

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File No: Restorative Justice -FY17/18 ______

D. DECLARATION:

To be signed by an authorized signatory of the sponsoring organization.

  • The information contained in this application is accurate and complete.
  • The application is made on behalf of the organization named with its full knowledge and consent.
  • The sponsoring organization is a registered legal entity in good standing.

I acknowledge that should a project be approved, I will be required to report on the activities described in this application, and report on how the grant funds were spent.

Name of authorized representative:
(Authorized representative)
Title:
Signature:
Date:

If proposal is approved, cheque should be made payable to:______

(Legal name of organization)

F. FUTURE OPPORTUNITIES:

Please keep me informed about future grant opportunities via e-mail:

YesNo

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File No: Restorative Justice -FY17/18 ______