Date of Application Submission *Organization NamePRIMARY CONTACTFull NameTitleEmail AddressPhoneALTERNATE CONTACTFull NameTitleEmail AddressPhoneMailing AddressApartment, suite, etcCityProvincePostal CodeCivic Address (If Different)Apartment, suite, etcCityProvincePostal CodeOrganization Registration InformationSocial Media, Website or any public linksOrganization Board of DirectorsPROJECT DETAILSTitle of Project, Event or Initiative:Project Start DateProject Finish DateDescribe in detail what the funds will be used for:In detail, describe how the project, event or initiative will benefit the community:PROJECT FINANCIAL DETAILSAmount Requested:Is 100% of the request for funds required to move forward with this project?YesNoDoes your organization have a VALID bank account?YesNoHas your organization applied, received or plan on applying for funds from elsewhere?YesNoIf so, please describe how much and where from:Please indicate the timeline of the projects need for funds and the amount for each projects stage of completion:Upload filePlease attach a detailed budget, including any supporting documentation where applicable and available. (ex: quotes, estimates, vendor price list, etc.). We accept .docx and .pdf files 8 MB file size maximum.Choose FileNo file chosenDelete uploaded fileAcknowledgment of MHACCCA-administered Common Area Rate FundingDo you agree to acknowledge the contributions of the MHACCCA -administered Common Area Rate funding for your project, event, or initiative?YesNoIf yes, how do you intend to do this?PROJECT DELIVERABLESDo you agree to supply a detailed report on the completion of the project for which this application is being submitted for, including timelines, expenditures and detailed specifics on how the CARA funds were used?YesNoBy submitting this form I declare that the information contained in this application is accurate and complete.Submit
