Annual Grants, Donations, Sponsorships Form

Application Type *

The application period for Annual Grants is now open.

Please ensure your application is submitted before the November 30 deadline.

General Information

Name of Applicant Organization

Address

City

Postal Code

Telephone

Name of Primary Contact

Position in Organization

Names and positions of Board/Executive members

Funding Requested

Sponsorship grants are awarded to organizations for event or tournament hosting, travel subsidies, inkind assistance or facility discounts in excess of $500. Only one Sponsorship Application is permitted from each organization per year.

Funding Requested

Donations are requests less than $500 for individual support, event support such as tickets, funding assistance or promotional items, in-kind assistance or facility discounts. Only one Donation Application is permitted from each organization per year.

Funding Requested

Annual grants are awarded to organizations for programs, projects or operating expenses. Successful recipients of annual grants will not be eligible for other sponsorships or donations in the same grant year.

Total Amount Requested

What is the main sector your organization serves? Select one.

Arts and Culture

Recreation and Leisure

Health and Wellness

Community Engagement

Other

Please specify

Are you currently receiving or have you received funding from the Town of Riverview in the last 4 years? *

Yes

Grant Received
2020	2021	2022	2023
2020	2021	2022	2023

Are you an incorporated not-for-profit organization?

Yes

Are you a registered charity?

Yes

Please provide your charitable number

Are you a sporting organization?

Yes

When was your organization established?

Does your organization have a volunteer board of directors or executive?

Yes

Please list your board/executive members
Name	Position
Name	Position

Is your organization in “good standing” with the Town of Riverview?

Yes

If “No”, explain why

What is the mission and mandate of your organization?

In your answer please also include details of your main activities and the people who benefit from these activities.

Donation Application

Annual Grant Application

Sponsorship Application

Please choose the type of funding requested

If an event or tournament, where is it being held?

What is the date of the event?

Which of the Community Priority Areas does your event positively contribute to? (Check all that apply)

The Riverview Grant program is designed to support community goals. These goals will be reviewed every three years to ensure they continue to be relevant to the community, the Community Investment Strategy and the Grant program. Organizations must demonstrate in their application how they will support at least ONE of the following community priority areas.

Diversity through Culture and Arts

Recreation and Leisure

Health and Wellness

Community Engagement

Describe in detail what you propose to do with the funding and how this will benefit Riverview residents by contributing to your chosen priority area. What is the need and why is your organization the best to address this need?

List the location of the program, project or initiative that will be funded by the grant.

What is the date of the program, project or initiative?

Approximately how many people will benefit from the activities supported by the funding?

Program Participants / Audience Members
Number of Riverview Residents	Number of Non-Riverview Residents
Number of Riverview Residents	Number of Non-Riverview Residents

Event Attendees
Number of Riverview Residents	Number of Non-Riverview Residents
Number of Riverview Residents	Number of Non-Riverview Residents

Other
Please Specify	Number of Riverview Residents	Number of Non-Riverview Residents
Please Specify	Number of Riverview Residents	Number of Non-Riverview Residents

Total Number of Beneficiaries
Number of Riverview Residents	Number of Non-Riverview Residents
Number of Riverview Residents	Number of Non-Riverview Residents

How many volunteers will be involved in the event/tournament supported by the grant? Volunteers

How many hours will these volunteers contribute? Hours

How will the Town of Riverview be recognized for this contribution? Please provide details.
Promotional Materials/Ads/Websites	Speaking Opportunities	Other
Promotional Materials/Ads/Websites	Speaking Opportunities	Other

If applicable, how does your event/tournament complement other events currently being provided in Riverview?

If applying for a travel subsidy
Is the participant 18 years of age or older?	Is the event a Provincial, National or International event?	Where is the event taking place?
Is the participant 18 years of age or older? Yes No	Is the event a Provincial, National or International event?	Where is the event taking place?

If applying for in-kind assistance, describe in detail the assistance being requested.

If applying for a facility discount, what is the name and type of event being held at the facility?

How does your activity complement other activities currently being provided in Riverview?

Please attach to this application the most current audited or reviewed financial statement for your organization.

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png tif pdf doc docx odt ppt pptx.

Financial Information

Please provide the following applicable financial information about the activities for which you are applying for funding.

Earned income
Confirmed	Potential
Confirmed	Potential

User fees
Confirmed	Potential
Confirmed	Potential

Fundraising
Confirmed	Potential
Confirmed	Potential

Private donations
Confirmed	Potential
Confirmed	Potential

Cash
Confirmed	Potential
Confirmed	Potential

In-kind (other)
Confirmed	Potential
Confirmed	Potential

Other Revenue
Source	Confirmed	Potential
Source	Confirmed	Potential

Total Revenue
Confirmed	Potential
Confirmed	Potential

Expenses

Salaries and benefits
Confirmed	Potential
Confirmed	Potential

Administration
Confirmed	Potential
Confirmed	Potential

Rent or mortgage
Confirmed	Potential
Confirmed	Potential

Program/project supplies
Confirmed	Potential
Confirmed	Potential

Advertising and promotion
Confirmed	Potential
Confirmed	Potential

Other
Confirmed	Potential
Confirmed	Potential

Total Expenses
Confirmed	Potential
Confirmed	Potential

We certify *

We certify that, to the best of our knowledge, the information provided in this application is accurate and complete and is endorsed by the group or organization which we represent and any funds should they be approved will be used only for the event described.

Application Prepared By:

Parent/Guardian, Coach or Teacher Approval

(if applicant is under the age of 18 years)