Climate Change Action Grant

Contact Information

Contact Name

Name of Organization

Non-Profit Organization Number

Email Address

Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Description

Amount Requested

Provide a short description of the initiative or event including important information such as the objective or goal, your group’s experience delivering similar projects, who will be impacted, and how it aligns with City climate action goals:

Project Description

In more detail, describe how your project or initiative will benefit the community and help the City achieve the goals within its Community Energy & Emissions Plan or Climate Change Adaptation Plan and why your group is best suited to carry out this project. Please reference the action(s) in the applicable plan that your initiative applies to:

What category does your initiative fall under? Select all that apply and describe how it fits into this category.

a. Energy efficiency or energy source shift in buildings initiatives

b. Transportation mode shift (active transportation, public transit, e-mobility) initiatives

c. Waste reduction or circular economy initiatives

d. Climate change adaptation – education & outreach initiatives

e. Climate change adaptation – capital project

How many people do you anticipate participating in the event or project? Is this event or initiative replicable by your group or others in the future? If so, describe how the initiative could grow in the future.

List the location and date of your event, if applicable

Do you need municipal resources or special event infrastructure to help support the event or project (i.e., barricades, picnic tables, garbage cans, etc).

Finances

Provide a budget for the initiative or event. List all anticipated expenses and revenue sources

Indicate other funding partners involved, the amount of funding to be provided, and if the funding is confirmed or tentative. Indicate the City’s percentage contribution requested compared to overall revenue or funding.

Provide the organization’s financial statements for the prior year (if available).

Maximum 3 files.
128 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Assumptions and Risk

Are there any challenges or risks that could impact the successful implementation of the proposal or ability of the event to occur?