French Second Language Revitalization Program
GRANT APPLICATION FORM
2016-2017
Please save completed form and submit the application by January 15, 2016. If you are submitting more than
one application, please include a cover letter listing all applications in order of priority. For further information,
please visit the website at www.edu.gov.mb.ca/languages/index.html or contact Danielle Parent at
204-945-6024, or, toll free, at 1-800-282-8069, ext. 6024 or by email at palo-olsp@gov.mb.ca.
PART A – INFORMATION ABOUT THE APPLICANT
1. Name of Organization or School Division
2. Mailing Address
3. Name of President or Superintendent
4. Name of School (if applicable)
5. Name of Contact Person
Title
Address (if different from above)
Telephone
Fax
Email Address
PART B – PROJECT INFORMATION
1. Project Title
2. Duration
From:
To:
3. Educational Need
What educational needs will this project meet?
Application Form 2016-2017
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4. Project Goal
What is the goal of the project?
5. Educational Areas
Of the five educational areas described below, please select the one which corresponds to the project goal.
(Check one area only.)
STUDENT RECRUITMENT AND RETENTION: Student recruitment and retention strategies (e.g., promotional materials,
pamphlets, videos, French activities for parents, community, etc.)
PROVISION OF PROGRAMS: Enrichment of programs and development of innovative teaching approaches (e.g., Intensive
French, resources that support a balanced literacy approach, etc.)
STUDENT PERFORMANCE: Acquisition and development of assessment tools (e.g., reference framework, continuum
between grade levels, etc.)
ENRICHED SCHOOL ENVIRONMENT: Enrichment through curricular and extra-curricular activities (e.g., performers,
cultural activities, camps, etc.)
SUPPORT FOR EDUCATIONAL STAFF: Professional learning, French language courses and mentorship programs for
teachers (e.g., French language courses, workshops, conferences, mentor, divisional coordinator, etc.)
6. Project Description and Strategies
Describe the project in approximately 250 words (timeline, location, main activities, target clientele,
partners, etc.)
7. Targeted Population and Number of Individuals to Benefit from the Project
Students
French Immersion
French Course
(English Program)
Total Students
French Immersion
French Course
(English Program)
Total Teachers
Elementary (K-8)
Senior High (9-12)
Teachers
Elementary (K-8)
Senior High (9-12)
Other – Specify:
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8. Expected Outcomes
8.1 In line with the needs identified, what are the observable and measurable results you wish to achieve?
(e.g., number of enrichment activities, improvement in students' French language skills, etc.)
8.2 How will the project’s progress be reported? Describe which indicators (e.g., rates of participation, of
retention, of satisfaction, etc.) will be used to determine to what degree the project will meet its expected
outcomes.
9. Partnerships
List the names of other organizations which will be involved in the development and implementation of the
project and describe their role (e.g., professional services, technical support, financial support, 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
(professional services, fee for artistic
performances, instructors for French
courses, etc.)
Substitute Costs
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 French Second Language Revitalization Program
$
(Indicate total amount requested.)
TOTAL REVENUE*
(B)
$
*Please note that the TOTAL REVENUE (B) must equal the TOTAL EXPENDITURES (A).
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PART D – CONDITIONS
Assistance provided under the French Second Language Revitalization Program must be used solely for
the purposes set out in the application. Once funding has been approved by Manitoba Education and
Advance 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" woodmarks 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) 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 French Second Language Revitalization Program as soon as a decision is reached by the province of
Manitoba.
The timelines and instalment schedule are as follows:

Application deadline
January 15, 2016

Project evaluation
February to May 2016

Response to applicants
June 2016

First instalment – 50%
October 2016

Interim Report deadline
January 31, 2017

Second instalment – 30%
March 2017

Final Report deadline
September 15, 2017

Third instalment – 20%
October 2017
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PART E – CERTIFICATION
I CERTIFY THAT:

The information contained 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 one.

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, Executive Director, Superintendent or Assistant Superintendent)
Name
Title
Signature
Date
PART F – SUBMIT APPLICATION
Please email an electronic copy of the application to: palo-olsp@gov.mb.ca.
In addition, send a signed copy, along with any additional documentation, to:
Danielle Parent, Education Officer
French Second Language Revitalization Program
Manitoba Education and Advanced Learning
Bureau de l'éducation française Division
509-1181 Portage Avenue
Winnipeg MB R3G 0T3
or
Fax: 204-945-1625
Application Form 2016-2017
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