Impact Grant Application

The Grant application period is now open.

Applications are accepted from July 29th until August 29th.
This application portal will close at 11:59 PM EST.

2024 Community Impact Grant Application (EN)

"*" indicates required fields

Step 1 of 7

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Let's Get Started

Charitable registration number*

Will the funded program take place in Canada?*

Yes

Has your organization previously received a grant from Ecclesiastical Insurance?*

Yes

I'm not sure

What year did your organization receive the grant?*

Which of our following Greater Giving themes does the project fulfill?*

Environment with a Human Impact

Food Security

Vulnerable Youth, Families, and Seniors

Other

Since you selected other, please let us know what giving theme the project will fulfill.*

Applicant Organization

Charity legal name*

Year founded*

Mailing Address*

Street Address Address Line 2 City Province/Territory Postal Code

Current annual operating budget*

Website*

Does your organization have any social media profiles?

Yes

Provide the social media handles your organization operates under

Contact Information

Primary

Full name*

Position*

Email*

Phone*

Secondary

Full name*

Position*

Email*

Phone*

Organization Background

Select the primary area(s) of focus for the charity (please select at most 3 options)*

Poverty Alleviation

Shelter and Housing

Environmental Sustainability & Conservation

Addiction Recovery

Animal Welfare

Faith-Based Services

Health Services

Education and Research

Food Security

Employment Opportunities

Arts

Mental Health

Culture and Heritage

Sport and Recreation

Advocacy and Awareness

Equity, Inclusion, and Accessibility

Legal Aid and Justice

Other

Please Specify*

Who does this charity provide services for (please select at most 3 options)*

Children (infant -15 years old)

Youth (16 -25 years old)

Adults (26-64 years old)

Seniors (65+ years old)

Families

The 2SLGBTQ+ community

Marginalized racial groups

Indigenous communities (First Nations, Métis, Inuit)

Persons with disabilities

Newcomers to Canada (Immigrants and Refugees)

Other

Please Specify*

Since you selected other, provide some information regarding the focus of your organization*

Tell us a little about your organization*

Please provide a summary of the facts, data, or metrics to demonstrate the annual impact of your organization*

Please note that you can attach additional supporting documents at the end of the application.

Program Details

Program name*

Start date*

DD slash MM slash YYYY

Does your program have an end date?*

Yes

End date*

DD slash MM slash YYYY

Please provide an overall description of the program and the group(s) it will help*

How will the success of the program be measured?*

How does the organization plan to ensure the long-term sustainability of the program?*

People impacted*

Total program annual operating cost*

Are there other sources of funding that currently support this program?*

Yes

Amount of other sources of funding*

Do you receive government funding?*

Yes

Grant amount requested*

Declaration and Consent

This declaration and consent are required for all grant applications submitted to Ecclesiastical Insurance Office plc "Ecclesiastical Canada." This declaration and consent must be made by a person from the organization submitting the Grant's application who has appropriate authority (Board Member or Trustee) to declare and consent to the matters required. In my capacity within my organization, I declare that:

The answers given and statements made in this application are to the best of my knowledge true and complete, and that I have not withheld any information likely to affect the accuracy of this application.

Ecclesiastical Canada will be notified of any change to details provided, and any circumstance that may affect the accuracy of this application.

On behalf of the organization for which this application is made, I support the grant being sought and the program as outlined. I am aware of and agree to the grantee obligations.

I understand that grant funds may only be used for the program for which the grant has been awarded. I acknowledge that any grant funds that are unexpected at the end of the Grant Period, must be promptly returned to Ecclesiastical Canada, unless formal approval has been provided by Ecclesiastical Canada to carry forward the unexpended funding for a continuing program.

DeclarationConsent*

In my capacity at the organization, I consent and agree to the above statements.*

Hidden

Yes

Hidden

Ecclesiastical Canada will be notified of any change to details provided, and any circumstance that may affect the accuracy of this application.

Yes

Hidden

On behalf of the organization for which this application is made, I support the grant being sought and the program as outlined. I am aware of and agree to the grantee obligations.

Yes

Hidden

If our organization is successful, I understand that before any grant is issued, we will be provided with a Grant Acknowledgement Form that outlines grantee obligations and provisions.

Yes

Hidden

I understand that grant funds may only be used for the program for which the grant has been awarded. I acknowledge that any grant funds that are unexpected at the end of the Grant Period, must be promptly returned to Ecclesiastical Insurance, unless formal approval has been provided by Ecclesiastical Canada to carry forward the unexpended funding for a continuing program.

Yes

Privacy Policy

I have read Ecclesiastical Canada's Privacy Policy, and noted that it applies to all company and personal information collected for the purposes of the grant application process.

I give consent for the use of such information as required; to enable details of the Community Impact Grant Application to be confirmed, and to facilitate the processing of the application by Ecclesiastical Canada. I consent to Ecclesiastical Canada contacting any relevant persons or organizations about the application. I also consent to providing copies of the application to such third parties as may be necessary from time to time.*

Yes

I understand and agree that Ecclesiastical Canada reserves the right to promote and detail the grant program for its own marketing and reporting purposes. If my organization undertakes any marketing or promotional activities, I agree that any published or display materials for the program will include Ecclesiastical Canada's logo and/or acknowledgement of grant support.*

Yes

Signature of Board Member or Trustee*

Full name*

Position*

Email*

Phone*

Please upload the following:

A list of the executive committee/board members
Most recent audited financial statements
An itemized budget for the program requesting funding, and
Any marketing or supporting materials

Please upload: A list of the executive committee/board members, copy of most recent audited financial statements, an itemized budget for the program requesting funding, and any other marketing or supporting materials.

Drop files here or

Accepted file types: pdf, xls, xlsx, doc, docx, txt, jpg, jpeg, Max. file size: 25 MB.

Phone

This field is for validation purposes and should be left unchanged.