Youth Program Application
“Please save this application to your desktop/computer or electronic device. Only online
submissions will be accepted. Download the application, complete the file and then
return to the specific program and upload the file in the COMPLETED APPLICATION
UPLOADS found at the bottom of the page. If you have additional supporting documents
simply click the green plus symbol for each upload”.
Date:
Applicant’s Legal Full Name:
Physical Mailing Address:
Street
PO Box
City
Postal Code
Phone Number:
Fax
Contact Person:
Phone Number if different above:
Are you a first time applicant?
IF no, please specify
Length of Residence on Haida Gwaii:
*Must be minimum 1 year prior to applying.
E-mail Address:
*Applicants will be notified by email.
Project Information
Project Name
Project Location
Project Manager’s Name
Amount Requested
Project Total Cost
Project Start Date
Project Completion Date
Project Description
Outline your project including: A brief Project Description, the
mission/vision (goals) of the project, why you are proposing the project,
and how the project will unfold from start to finish (please explain essay
maximum 1000 words)
Describe the Project Benefit to the community including: what the benefit
is, who it benefits, which communities will benefit, and will the project
create any job(s) in the construction and/or completion phases. (please
explain essay maximum 1000 words)
Describe the Project Management Structure including: who the key
individuals are, what their skills and history are, and who will be
responsible to manage and work within the project. (please explain essay
maximum 1000 words)
Project Funding & Budget
Description of Income - Other Funding
Funding
Description
Funding 1 Amount requesting from Gwaii Trust
Funding 2
Funding 3
Funding 4
Funding 5
Funding 6
Income must equal expenses
Total
Description of Expenses
Expenses Description
Funding 1
Funding 2
Funding 3
Funding 4
Funding 5
Funding 6
Expenses must equal income
Total
Amount
Amount
Note: Expenses Must Equal Funding. Please use a separate excel sheet and
number your cost quotes, when submitting your final report and expenses you
must provide receipts worth total project cost.
List any information regarding the Project Costs and Source(s) of Funds
including comments around cash flow (25% equity with a minimum of 10%
sweat equity).
Once you have identified all your expenses, propose what revenues
(sources of funding) will pay for them.
(Please explain maximum 1000 words)
Explain Attempts to Secure Other Funding including: any funding
initiatives you have undertaken prior to this application, other funding
being used to complete this project, and if there are pending funding
sources.
(Please explain maximum 1000 words)
Explain 'In-house' Bookkeeping and Accounting including: who will
manage the 'financial end' of the project, and how will you keep track of the
project finances.
(Please explain maximum 1000 words)
Confirm that Operational and Maintenance Funds exist once the project is
completed including: how the project will be financed after the initial
funding, and are there ongoing costs that need to be considered.
(Please explain maximum 1000 words)
Project Objectives
Explain how your project meets the constitutional goals and objectives of
the Gwaii Trust (found under the constitution section of this website).
(Please explain maximum 1000 words)
Explain how you have leveraged any partnership opportunities to fund this
application. (Please explain maximum 1000 words)
Comment on how your group has demonstrated community support or
buy-in. (Please explain maximum 1000 words)
What is the projected number of youth participants? (Please explain
maximum 1000 words)
Is the program sustainable, please explain? (Please explain maximum 1000
words)
Is the project increasing opportunities for youth? (Please explain maximum
1000 words)
Evaluation Process
How will you determine the success of your project and what will you use
to measure its success? (Please explain maximum 1000 words)
Letter of Support & Verification of Costs
Upload letters of support, confirmation of income, cost quotes or relevant
information.
Certification
I/We certify that the information contained in this application any other submitted
information are correct and complete at the date of submission. Submission of
false or deliberately misleading information may result in the Gwaii Trust denying
this and or future applications to the Trust under any of its granting programs.
The Gwaii Trust Board of Directors will not consider any information or
supporting documentation received after the allocation deadline in their review of
this project.
All applications submitted become the property of the Gwaii Trust, who may
publish the said applications on their website www.gwaiitrust.com or may
otherwise utilize their content as the Gwaii Trust sees fit.
By checking YES in the box below, and submitting this application, I agree
to the above statements Yes
Approved: Yes
No
Date Processed:
Project Officer:
Conditions: