Utown Ubccommunity Grant Application Form

Utown Ubccommunity Grant Application Form

UTown@UBCCommunity Grant Application Form

Please note the following when filling out your grant application:

1)To be eligible to apply, you must be aUTown@UBC resident. This is defined as student, staff, faculty, or residents living in student housing (SHHS) or a UNA neighbourhood. If you are unsure of your eligibility, please contact

2)In order to be considered for aUTown@UBC Community Grant you must submit this application form. Alternate reports and proposals will not be considered.

3)A detailed budget must be included with this application (see Section E)

4)Any funding used to pay an honorarium will require a T4A form to be issued by UBC.

5)Please allow a minimum of three weeks after accepting your grant to receive funding.

6)This application is only for applicants who are residents of UTown@UBC - students, faculty, staff and other residents who live on the UBC Vancouver Campus.

For additional information, including full grant criteria and eligible expenses please see

Section A: Applicant Information
First Name:
(please use your given name, as cheque will be issued in this name) / Last Name:
Yes I’m aUTown@UBC resident (Faculty, staff, student or family member who lives on campus, or a UNA resident).
I am also a (circle all that apply):
Student Faculty MemberStaff MemberUNA Resident
Student ID Number (if applicable):
Employee ID Number (if applicable):
Phone: / Email:
Mailing Address:
City: Vancouver / Province: B.C. / Postal Code:
Section B: Project Information
Name of project:
Has this project been awarded aUTown@UBC Community Grant previously?
If yes, when?
Please note that projects may be awarded grants a maximum of three years, with 50% of funding provided in the final year to encourage fundraising and economic sustainability.
Project timeframe
Start (DD-MM-YYYY): / End (DD-MM-YYYY):
Please provide a detailed description of the project and include the following information:
  • What you hope this project will accomplish.
  • How it contributes to the social vibrancy of UTown@UBC.
  • Clear project goals/objectives.

How many residents do you anticipate this project will bring together and how? (e.g. residents will organize the project together, residents will attend an event or learn a new activity together)
How will you measure the success of your project (evaluation, participation goals,etc)?
What experience do you have which will support the successful delivery of the proposed project?How many people will be involved in organizing this project?
Section C: Project Work Plan
Outline the key tasks and events for your project with a timeline or schedule (if applicable) that will be used during the plan and implementation of this project.
Date / Activity
Ex) March 2016 / Confirm location for x project…
Section E: Project Budget Information
Please provide an outline of anticipated expenses associated with this project. Please take into account:
  • Advertising and promotion
  • Printing costs
  • Honorariums
  • Costs associated with rental space
  • Project supplies
You may use a separate sheet of paper for this section.
Amount requested from UTown@UBC Community Grants (up to $1,000):
Other Funding Sources: (please list all additional funding sources and amounts, including in-kind funding, such as donated meeting space, etc.)
Planned Expense Item / Cost $
Total Expenses
Section F: Marketing and Promotion
Describe in detail, how you plan to promote your project to the UTown@UBC community. Please consider the following questions:
  • Who is your primary target audience for this project?
  • How will you inform this audience about your project?
  • How will you expand and promote your project to secondary and tertiary audiences?
  • Which promotional channels will you use to ensure that your project is promoted to the entire campus community? (ex: The Campus Resident, The Ubyssey, social media, etc).
  • What types of collateral pieces will you need to create to promote your project? (advertisements, posters, handbills, swag, etc.)
Please note that if awarded aUTown@UBC Community Grant, your grant supervisor can assist you in connecting with channels.
Primary Audience:
Ex) UNA residents / Channels:
The Campus Resident / Collateral pieces:
¼ page colour ad
Secondary Audience: / Channels: / Collateral pieces:

Please submit your application by theOctober 22, 2017deadline.

Applications can be submitted in the following ways:

Email:

*Mail or in person:

UTown@UBC Community Grant Selection Committee

CIRS Building, 2260 West Mall, 3rd Floor

Vancouver, BC

V6T 1Z4

Online:

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