Strategic Partner Capital Grant Application

Contact Information

Contact Name

Name of Organization

Non-Profit Organization number (if applicable)

Email Address

Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Description

The amount requested $

Provide a description of the proposed project here.

Why is this project necessary?

What are the risks or challenges if you don’t receive the funding?

Do you own the asset to which the project refers? (i.e. If it is renovations to a building do you own the building where these renovations will take place?)

Customers and stakeholders

Who are the direct customers of the services or amenities that are provided by this capital investment?

Who benefits from this capital project?
How do they benefit?
Describe the significance of this project and its reach within the community
(this could be number of users, or diversity of residents).
Who else does this capital project indirectly benefit?

Why does your project merit funding from the City of Fredericton for this capital project?

How does this project align with your organization’s goals and mandate?

Project Timing

Describe when the project will start and finish

Funding Partners

Indicate other funding partners involved in the project, the amount of funding to be provided and if the funding is confirmed or tentative, related to existing operations and specifically related to the project request.

Funding Partner
Amount
Confirmed / Tentative

Other Funding or In-Kind Services

(if any)

Provide a description of all grants received by your organization from the City of Fredericton with dates and amounts.

Sustainability and Costs Of The Project

Provide a financial plan for the capital project, total cost of the project including capital outlays, financing, and other expenditures for both capital and operating expenses for the duration of construction and life cycle of the asset. Outline the full life cycle cost, estimate it’s useful life, operating costs (repairs, maintenance, future replacement will be funded).

Attach spreadsheet with application form or enter data in provided field.

One file only.
128 MB limit.
Allowed types: xls, xlsx, ods, csv.

Organizational Sustainability

Provide financial statements for the previous three (3) years (if available). If available, provide the organization’s overall business plan or forecasted financials with revenue and expense projections. If there is no business plan or forecasted financials, the table on the final page provides a minimum guideline for information to be provided.

Unlimited number of files can be uploaded to this field.
128 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Assumption and Risk

What are the challenges or risks that could impact the success of the capital project?

Project Management Expertise

Provide details of management expertise within, or available to, the organization for the successful implementation of the project on time and within budget.

For user fees (if any), include details of how the fee was determined including anticipated number of users, demand, and the hourly/per use fee to be charged.

For capital expenses, include upfront capital costs, on-going capital maintenance required and a funding plan for eventual renewal/replacement.