Application Form - Education and Advanced Learning

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Program for the Enrichment of French in Education
GRANT APPLICATION FORM
2016–2017
Please save completed form and submit the application by January 15, 2016. For further information, please
visit the website http://www.edu.gov.mb.ca/efe/index.html or contact Danielle Parent at 204-945-6024, or
toll-free at 1-800-282-8069, ext. 6024, or by e-mail at palo-olsp@gov.mb.ca.
INFORMATION ABOUT THE APPLICANT
1. Legal Name of Organization
2. Address
3. Name of President or Executive Director
4. Legal Status (provincially or federally incorporated)
Registration Number:
5. Name of Project Head
Title
Phone
Fax
E-mail address
INFORMATION ABOUT THE APPLICANT
1. Project Title
2. Length
From:
To:
3. Previously Funded
3.1 Has this project previously received funding from this program (PEFE)?
No (please proceed to question 4)
Yes (please answer the following questions)
3.2 Were the performance targets from the last application achieved?
 If Yes, please specify.
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 If No, have you changed your performance targets or what changes have you made to your project in
order for the targets to be achieved?
4. Educational Community Need
4.1 What need on the part of the educational community will this project meet?
4.2 What steps have been taken to confirm this need? Please explain what you have done (surveys,
consultations, observations, conversations, etc.) and with whom (students, teachers, principals, etc.).
5. Project Description
Describe the project in 250 words or less (timeline, location, main activities, target clientele, partners, etc.).
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6. Educational Objectives
6.1 Explain how this project will contribute to achieving the educational objectives of the PEFE (see Selection
Criteria on the PEFE web page.)
6.2 What impact will this project have on the educational community (students, teachers, etc.)?
6.3 Does the project make curriculum connections? If so, explain.
7. Educational Areas
Please select the educational area or areas targeted by your project.
(Projects that do not target one of these areas will not be considered.)
ENRICHED SCHOOL ENVIRONMENT (strengthen and promote French language learning through schoolbased, extra-curricular, and post-secondary activities; promote and provide access to Francophone
culture, bring the Francophone and school communities closer together; upgrade the linguistic skills of
students from the minority community, facilitate the francization of adults, etc.)
STUDENT RECRUITMENT AND RETENTION (promotional activities, activities in French for the
community's parents, etc.)
8. Targeted Population and Number of Individuals to Benefit from the Project
Students
Français Program
French Immersion
Program
French Course (English
Program)
Pre-School
Elementary (K–8)
Senior High (9–12)
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Teachers
Français Program
French Immersion
Program
French Course (English
Program)
Elementary (K–8)
Senior High (9–12)
Other – Specify:
9. Performance Targets and Project Evaluation
9.1 Identify the performance targets as they relate to the need identified at 4.1 and the educational
objectives of the PEFE.
E.g.: number of participants, percentage of time that the students have interacted in French, degree of
commitment, level of satisfaction, etc.
9.2 How will achievement of the performance targets be measured? Please provide the evaluation tool.
E.g.: survey, testimonial, rating scale, etc.
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PART C — TOTAL BUDGET FOR THE PROJECT
Describe the nature and amount of estimated expenditures, from July 1, 2016 to June 30, 2017, for each of
the categories below.
Expenditures
Amount
Estimated
Expenditure Details
(required)
Wages
(positions filled by salaried employees,
amount of wages and benefits for each, etc.)
Amount
Requested*
$
$
$
$
Fees
(audits and professional services, such as
artistic performances, consulting, etc.)
Operating Costs
(rentals, insurance utilities, telephone,
stationery, etc.)
Project Materials
and Supplies
Transportation
Meals and Accommodations
Advertising
(publication of brochures, posters and
media advertising, etc.)
Other
TOTAL EXPENDITURES**
Revenue Sources
(A)
Revenue Details
(required)
Total
Direct Revenue
$
(tuition fees, sales, dues, funds collected,
subscriptions, etc.)
Contribution from
Organization
$
Other
(all other possible sources of funding from
other levels of government, other provincial
departments, foundations, etc.)
$
Program for the Enrichment of French in Education
$
(Indicate total amount requested.)
TOTAL REVENUE**
(B)
$
* Provincial funding will not exceed 50% of the actual cost of the project.
** Please note that the TOTAL REVENUE (B) must equal the TOTAL EXPENDITURES (A).
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PART D — CONDITIONS
Assistance provided under the Program for the Enrichment of French in Education must be used solely for
the purposes set out in the application. Once funding has been approved by Manitoba Education and
Advanced Learning ("the department"), no major changes may be made to activities without its approval;
moreover, what constitutes a major change in any particular case shall be determined by the department.
All funds not used for the above-mentioned purposes must be reimbursed to the provincial government.
The organization receiving a financial contribution must provide recognition through the use of the
"Canada" and "Manitoba" wordmarks for the federal and provincial governments and, where space and
circumstances allow, specific text that refers to the Government of Canada and Government of Manitoba.
The organization is entirely responsible for its debts. The department shall not consider any application
made for the purpose of paying debts.
If a portion of the funding is to be used to pay salaries or fees, federal and provincial legislation concerning
salaries and deductions (e.g., taxes, employment insurance, etc.) must be observed.
The organization is required to keep an accounting of all revenue and expenditures. In addition to the
financial statements required at the end of each fiscal year, the organization may be asked to provide
supplementary information and supporting documents by the provincial or federal governments. Auditing
and monitoring the projects are an integral part of the funding process.
The organization must agree to respect the spirit and the letter of The Human Rights Act and the Official
Languages Act.
Under the Access to Information Act, the public may request and obtain information contained in federal
and provincial government files. In the event that an application for information concerning this
application for funding is received, the department will consult the organization before any information is
released. It is important to point out, however, that only personal information and some confidential
financial information concerning a third party may be withheld. Once funding has been approved, the
amount, the purpose for which it is granted and the name of the organization can be released to the
public.
The department will notify organizations in writing about the results of their application for funding under
the Program for the Enrichment of French in Education as soon as a decision is reached by the Province of
Manitoba.
The timelines and instalment schedule are as follows:


Application
Project analysis
Deadline: January 15, 2016
February–May 2016

Response to applicants
June 2016

First instalment – 50%
Fall 2016

Interim Report
Deadline: January 31, 2017

Second instalment – 30%
March 2017


Final Report
Third instalment – 20%
Deadline: September 15, 2017
Fall 2017
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PART E — CERTIFICATION
I CERTIFY THAT:

The information in this application is accurate and complete.

This application is made on behalf of and with the approval of the organization whose name appears
on page 1.

If funding is granted, the said organization agrees to provide financial statements and activity
reports in accordance with the requirements of the department.

If funding is granted, the said organization will comply with the legislation and the directives of the
department regarding the accounting of public funds.

If funding is granted, the said organization is aware that the Auditor General, in accordance with
Section 17 of the Auditor General Act, may request additional information and explanations
necessary to fulfill the auditor's responsibilities or may perform a financial audit of the project.
Name of person authorized to sign (President or Executive Director)
Name
Title
Signature
Date
PART F - SUBMIT APPLICATION
Please e-mail an electronic copy of the application to: palo-olsp@gov.mb.ca
In addition, send a signed copy, along with additional documentation, to:
Danielle Parent, Education Officer
Program for the Enrichment of French in Education
Manitoba Education and Advanced Learning
Bureau de l'éducation française Division
509–1181 Portage Avenue
Winnipeg, Manitoba R3G 0T3
Fax: 204-945-1625
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