Instructions

1. Use the Save & Return link below to create an account and save your work.

2. When you return to the application after logging out, use the following link to return to your work (and to log in):

https://fs22.formsite.com/sbeuteljewishottawacom/r5ucnzkygu/form_login.html

For questions and assistance please contact Kara Goodwin at 613-798-4696, ext. 200, or at kgoodwin@jewishottawa.com

Deadline to SUBMIT application is February 10, 2020.

1. Use the Save & Return link below to create an account and save your work.

2. When you return to the application after logging out, use the following link to return to your work (and to log in):

https://fs22.formsite.com/sbeuteljewishottawacom/r5ucnzkygu/form_login.html

For questions and assistance please contact Kara Goodwin at 613-798-4696, ext. 200, or at kgoodwin@jewishottawa.com

Deadline to SUBMIT application is February 10, 2019.

Save & Return

Save your progress and complete this form later. (optional)

Grant Purpose and Proposal Evaluation

This grant is intended to assist local Jewish organizations to care for the vulnerable or help prevent future vulnerability. Organizations can apply for a grant of up to $50,000 in any of the following areas:

Prevention
Enhanced services and support
Technological upgrades to improve delivery of care
Inclusion in Jewish life of people with varying abilities

Goals of the Fund

More vulnerable Ottawans can access Jewish life
Foster increased accessibility and inclusion within the Jewish community, of those with varying abilities
Education in order to prevent crises in the future
Increase capacity of Jewish organizations to deliver high-quality care

Measuring Success

Programs and projects funded through this grant must:

Measure how care and quality of life for vulnerable people is improved through this grant. Some ways this can be measured: improvements in health outcomes, observed behaviours, and quality of life measures.
Report on how accessibility and inclusion are improved
Administer a survey and/or meet specified reporting requirements, such as number of individual participants, participation hours, and other measures.

Please contact Kara Goodwin, Director of Community Collaboration., kgoodwin@jewishottawa.com, (613) 798-4696 x200 to discuss your application before applying to ensure that it meets the Fund criteria.

Project Information

Project name: *

Who is the primary contact person for this initiative?

First Name *

Last Name *

Phone Number *

Email Address *

Information about your Organization

Organization Name: *

Address:

Phone:

Are you applying in partnership with another agency (agencies) or organization(s) ? *

Yes

Partner Organization Name:

Partner Organization Address:

Partner Organization Phone:

Partner Organization Email Address

About Your Project

Select the area (s) that your proposed project/program address:

	Select one at minimum
Prevention	Select one at minimum
Enhanced services and support	Select one at minimum
Technological upgrades to improve delivery of care	Select one at minimum
Including people of differing abilities in Jewish life	Select one at minimum

Describe the project and what your organization would like to achieve. *

Describe the vulnerable population that your project intends to serve: *

Describe how the target population is currently served in Ottawa's Jewish community. *

How many people does this project benefit? How did you calculate this number? *

How much funding are you requesting? The maximum grant amount is $50,000.00. How will these funds be used? *

0/250 words

What are the project expenses? Please list and estimate. *

What are the project revenues (if applicable) and other funding sources. Please list and estimate. *

Can this project proceed without the full amount? Describe. *

Work-plan & Timeline: Describe who will carry out the project, how many staff in total will be needed, if volunteers will be involved, and the project’s timeline for completion. If you are engaging consultants or contracted support, include information on services & rates. *

Describe how you will collect data and measure results to evaluate:
- How care and quality of life are improved for target group
- How access or inclusion are improved
- How you will meet reporting requirements for number of people served, participation hours, and survey completion. *

If this is a collaborative project, please describe the relationship and breakdown of responsibilities.

What is the duration of this project/program? *

Provide information on how your short-term project will have long-term impact. *

Describe how this project or program will sustain itself after this grant has expired. *

Are there any other supporting documents that you would like to share?

Final Details

Thank you for your application.

The Grants and Evaluation Committee will review your application and contact you should there be any questions.

If approved, you will be required to sign a funding agreement that outlines the obligations and responsibilities related to receipt of this grant.

Funds are provided in the form of expense reimbursements supported by valid recipients. Receipts for work or products outside of the scope described in this proposal may be declined.

This grant must be used within 12 months of receipt or over 3 years as detailed in the funding agreement.

I have read the information above and agree to the terms.

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