The Regina Horticultural Society 2015 1. Name of applicant: __________________________________________________________________________________________ Phone: ___________________ Cell: ___________________ E-mail: __________________________________ 2. Is this project a partnership or collaboration with a neighbourhood organisation? If so, please describe this partnership, providing the name of the organisation and contact information such as the contact person, address and phone number: __________________________________________________________________________________________ __________________________________________________________________________________________ 3. Name, email and mailing address of the project leader: (who will be our principal contact for the project) __________________________________________________________________________________________ __________________________________________________________________________________________ Phone: ___________________ Cell: ___________________ E-mail: __________________________________ 4. Name of project: __________________________________________________________________________________________ 5. Physical address of project: __________________________________________________________________________________________ __________________________________________________________________________________________ 6. What is the vision for this project: __________________________________________________________________________________________ __________________________________________________________________________________________ 7. Who will be involved in the project: __________________________________________________________________ ________________________ __________________________________________________________________________________________ 8. Project start and end dates: __________________________________________________________________________________________ __________________________________________________________________________________________ 9. Describe in more detail what this project is about in terms of activities and its outcomes: __________________________________________________________________________________________ __________________________________________________________________________________________ _________________________________________________________________________ _________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 1 10. Describe the education component of the project: __________________________________________________________________________________________ __________________________________________________________________________________________ 11. Explain how your community will benefit from the project’s activities: __________________________________________________________________________________________ __________________________________________________________________________________________ ________________________________________________________________________ __________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 12. Outline plans to monitor the progress of the proj ect: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________ ________________________ 13. Budget: based on a maximum of $1,000 Types of Expenses Anticipated Costs 14. Are other funds available to your project, and if yes, please identify the source, the purpose and the amount: __________________________________________________________________________________________ 15. Describe how the project is sustainable: __________________________________________________________________________________________ 2 Application guidelines: Applications submitted online would be preferred. If needed, you can add any additional information on a separate page(s) and include them with your application. Once completed, kindly e-mail it to the Regina Horticultural Society at [email protected] . Deadline: 12 midnight, March 30, 2015. Scoring: Applications will be scored for a total of 50 points. Each category below shows the numerical value in brackets. 1. Name, phone, mailing address and e-mail of the applicant: the name of the individual(s) submitting the application as well as their contact information for clarification purposes if necessary. (1) 2. Partnership or collaboration: the name of the organisation, such as a neighbourhood or community association, a church, a not for profit, or a school, the nature of the partnership, and the key contact person that will also be a part of the project. (3) 3. Name and address of the project leader: this could also be the applicant. This will be the person responsible for the project, ensuring a successful development and who will also be our principal contact in terms of funding, and for the Regina Horticultural Society liaison. Phone, mailing address and e-mail: the Regina Horticultural Society will need this in order to provide the funds and to maintain contact with the project leader. (1) 4. Name of project: we hope you get creative here! (1) 5. Physical Address of project: this is a more detailed description of where, in Regina, the project will take place. As an example, it could be a series of small gardening plots along the back lanes of a particular neighbourhood bordered by two streets; it could be on the property of a local association, accessible to its clients; it could be a teaching garden at a daycare or for newcomers to the city; etc. (1) 6. Vision for this project: what would you like to accomplish with this project? (2) 7. Who will be involved: please list whom from the community, will be included in this activity. This will help us better understand your vision as well as your education component. Will you be including children, teens, seniors, newcomers to Regina, new gardeners, etc .? How will they be engaged and how will their continued engagement be fostered and promoted? (4) 8. Project start and end dates: project could start as early as April 2015 and should be completed by Nov 1st 2015. (2) 9. Project activities and its outcomes: what do you want to do? why? how will you evaluate if this project is successful? (7) 10. Education component: what kind of knowledge will be shared through this project and how? (5) 3 11. Explain how your community will benefit from the project’s activities: will community participants gain new or enhanced life skills, will there be a sense of pride of place, or will this provide access to a source of healthy food? (5) 12. Outline plans to monitor the progress of the project: how will you note or record the project’s progress? (4) 13. Budget: how much will this cost – the GRIN grant funds can be applied to offset expenses related to establishing and working on a gardening project in a responsible manner . Salaries, administrative, overhead and operating costs are not eligible. Please keep receipts of expenses for the Regina Horticultural Society. Examples of such costs can be the purchase of seeds, manure, lumber, gardening gloves, hoses, etc. (7) 14. Other funds available to your project: please identify other funds available to your project, including the purpose and the source. The limited GRIN grant funds should not be used for the same purpose as funds obtained from another source. (2) 15. Describe how this project will be sustainable: what plans are in place to keep the project going after the GRIN grant funding ends? (5) The Regina Horticultural Society will appoint a Liaison Person who will provide you with mentorship, support and guidance for your project. The Liaison will keep in regular contact with you regarding expectations, follow-up, reporting, as well as disbursements for the duration of your project. The project story will belong to you, your participants and your community. We encourage you to take photographs, and/or videos that you will present at one of our meetings in the fall of 2015. How will you present your project, its story, challenges and successes and final outcomes? Our members are sure to enjoy meeting you and to learning more about your project! All received applications and project-related information become the property of the Regina Horticultural Society. Successful applicant(s) will be contacted by the President of the Regina Horticultural Society by mid-April 2015. I, (undersigned) __________________________________________, agree to receive the Growing Roots in the Neighbourhood (GRIN) grant from the Regina Horticultural Society and will work on the described project to increase awareness about gardening and a safe, sustainable environment within Regina. I also agree to give a presentation to the RHS membership about our project’s story at a set date in the fall of 2015. ____________________________________________________________________________________________ Regina Horticultural Society use only: Date received____________________________________Decision_______________________________ 4
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