University of Toronto Environmental Resource Network (UTERN)
Earth Sciences Center (ES) Room 2016a • 33 Willcocks Street • Toronto Ontario M5S3B3
web:
utern.sa.utoronto.ca
•
e-mail:
[email protected]
Funding Application
Type of Application:
Single Group
Collaborative
If your project is collaborative, list the partner groups:
A. Lead Applicant Contact Information
Name:
Position/Title:
e-mail:
Telephone:
Group Name:
Group Address:
Group e-mail:
Group URL:
B. Grant Request
Title of Event/Project/Activity:
Start Date:
End Date(
?
):
Timeframe:
Single Year
Multi-year
Other (please specify)
Requested Funding: $
Needed by (date):
Amount and Sources of Secured Funding:
Amount ($)
Funder
Amount and Sources of Funding Pending:
Amount ($)
Funder
C. Proposal Details
Describe the proposed event, project or activity in a paragraph, including its purpose, specific use of funds, proposed impact on community, and expected success upon implementation; include expected participation (attendance, readership, etc.) with a conservative to optimistic range and compare to values of other years if the project is not the first;
Provide a detailed work plan.
Task
Time (hrs)
D. Budget
Provide a detailed budget outlining a cost-revenue projection, including costs per unit if applicable (e.g. per food item, average prize cost or unit printing costs), estimating if necessary. Please make reference to sources approached for price estimates:
Item
Amount ($)
Description(
?
)
E. Lead Applicant's Organization Information
Please list a sample of recent activities coordinated by your organization, including fundraising:
What is the mandate, purpose, or mission of your organization?
Describe the participants at your events (e.g. students in environmental programs, senior students...)
Please provide details of partnerships your organization has developed, if applicable. If you have not developed partnerships, please indicate if you would like UTERN’s assistance in developing one with other organizations.
Please provide any other information you feel is pertinent to this application:
F. Board
List of Executives
Name
Position
References (optional)
Name
Contact Information
G. Declaration (After confirmation, the send button will appear)
I confirm that the information provided within this application and the accompanying documents is true, accurate, and complete. I acknowledge that if this application is approved, I will be required to enter into a formal, legally binding agreement with the University of Toronto Environmental Resource Network that will outline the terms and conditions of the grant.
