CS-23-001 Community Grant Application

SECTION 1: APPLICANT INFORMATION

1. Organization Name

2. Registered Non-Profit Number (if applicable)

3. Sponsoring Organization (if applicable)

4. Mailing Address

City

State/Province

Zip/Postal

4. Mailing Address

5. Contact Person

Title

Phone Number

Email

6. Is your organization operating within Sussex or providing services that benefit Sussex residents?

Yes

No

SECTION 2: PROJECT DETAILS

7. Project Title:

8.Project Description

9. Total Project Cost

10. Amount of Funding Requested:

11. Has your organization received funding from the Sussex Community Grants Program in the past?

Yes

No

If yes, indicate year(s) and amount(s) received:If yes, indicate year(s) and amount(s) received:

SECTION 3: ALIGNMENT WITH COMMUNITY PRIORITIES

12. Which key objective(s) in Sussex does your project support?

13. How does this project benefit the residents of Sussex?

14. What long-term community impact does this project aim to achieve?

SECTION 4: FEASIBILITY & FINANCIAL MANAGEMENT

15. Describe your organization’s capacity to successfully implement this project.

16. Provide a breakdown of project funding sources and amounts (if applicable):

Own funds:Own funds:

Other grants/funding:Other grants/funding:

Donations/Sponsorships:Donations/Sponsorships:

Other (please specify):Other (please specify):

17. Does your organization have diversified funding sources?

Yes

If yes, please list:If yes, please list:

No

18. What partnerships or community/business support does this project have?

19. Supporting Documents:

Maximum file size: 516MB

SECTION 5: DECLARATION

I certify that the information provided in this application is accurate and complete. I understand that if my application is successful, I will be required to submit a final report by December 31 detailing how the funds were used

Clear