HomeMy Public PortalAboutMajor Capital Grant Application Form_fillable
MUNICIPALITY OF THE DISTRICT OF CHESTER
~ Capital Grant Application Form ~
Deadline to Apply: January 31st
Name of Organization
Contact Person
Position with Organization
Organization Mailing Address
Incorporation Number with Registry of Joint Stocks
Phone:
Email: Date:
Signature of Signing Officer and position with Organization:
Name (printed) Position Endorsement (check box)
I declare I am a member of the
organization and have authority to
submit this application.
Application Notes: Feel free to attach additional supporting documents if the space provided is not sufficient.
2. Which of the following best describes your project?
New Construction Large Capital Equipment
Other (list):
1. Describe the purpose or objective(s) of your organization (i.e. mission statement).
Renovation Small Capital Equipment
Which grant are you applying for: COMMUNITY Capital Grant MAJOR Capital Grant
End Date:
or Google 'Municipality of Chester Strategic Priorities'.
Municipal Strategic Priorities Framework (to view the Priorities document click the attached link or copy and
paste it in your browser): https://portal.laserfiche.ca/Portal/DocView.aspx?id=1236847&repo=r-0001f4a08362
3. Please provide a detailed description of your project.
4. What is the estimated project timeline?
Start Date:
5. Please describe the positive effects your project will have on the community and how it supports the
6. Who will benefit from your project and how?
MAJOR CAPITAL GRANT APPLICATIONS – Council will fund up to a maximum of 70% of the total
project budget. Groups must secure the remaining 30% from other sources and a minimum of 10%
must be cash.
Please attach a copy of your most recent annual financial statement.
7. How did you determine the need for this project?
8. How much funding are you requesting? $_______________________
9. Budget
Please attach a project budget showing all revenue and expenses.
9. Describe your financial readiness for the project. Are all funding partners and in-kind contributions confirmed?
10. If you are applying for a construction or renovation project, please indicate whether you own the facility or
have a long-term lease?
COMMUNITY CAPITAL GRANT APPLICATIONS – You must demonstrate fundraising efforts and your
revenue should include a list of financial contributions from all sources.
(Maximum Funding: Community Capital $10,000 or $20,000 (based on eligibility criteria) and Major Capital $100,000)
Municipality of the District of Chester Phone (902) 275-3490
186 Central Street, PO Box 369
Chester NS B0J 1J0
address should we send it to if different from Page 1?
b) If the above doesn’t work for you, please complete the form, save it, then manually attach it to an email
to recreation@chester.ca. Don’t forget to attach any supporting documents before pressing ‘send’.
11. Is there additional information that may support your grant application?
12. If you have previously received any grants from the Municipality, have you submitted the Final Report?
Yes No If No, please submit your Final Report as soon as possible.
13. If your funding request is approved, who should the grant cheque be made payable to and what mailing
a) Click “Submit" button below. Your email program should automatically open and create an email to
recreation@chester.ca. At that time, you will be able to attach supporting documents (i.e. budgets,
financial statements, additional documents, etc.) and compose a message if you choose to. Once
complete, be sure to press ‘send’. This form works best with Adobe Acrobat on desktop and mobile
devices.
HOW TO SUBMIT THIS GRANT APPLICATION ELECTRONICALLY
Please submit a hard copy to the address below or, electronically (see directions below):
Recreation & Park Services Email recreation@chester.ca
c) OR, you can print the form, fill it out, and mail or hand deliver it to the address above.