2017 ORGANIZATIONAL CAPACITY BUILDING GRANT STANDARD APPLICATION

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1 SOCIAL POLICY DIVISION, SOCIAL DEVELOPMENT DEPARTMENT 2017 COMMUNITY SERVICES GRANTS 2017 ORGANIZATIONAL CAPACITY BUILDING GRANT STANDARD APPLICATION Important Tips for filling out the application: The standard application is a) for new applicants, and b) for applications for programs that did not receive funding in the previous year. Please note that some of the boxes are not expandable and will not allow you to enter more than the space allocated, and therefore, any text typed beyond that point will not be visible. Please use the TAB key to go from one question to another do not use Enter key. When entering numbers, please do not use commas for separators. They will be added automatically e.g. for 2000 type 2000 not 2,000. Note: All new applicants that were not funded in the previous year must contact a grants planner in Social Policy to discuss their application prior to submitting. APPLICATION DEADLINE IS 4:30 PM FRIDAY, OCTOBER 14, 2016 ALL required materials (hard copies and digital) must be received by the City no later than the deadline.

2 ORGANIZATIONAL CAPACITY BUILDING GRANT APPLICATION - SUMMARY Full Legal Name of Organization (as per Part A Question 1) Name of Program or Agency (if different from above) Primary Contact Person Title Telephone Website Address Secondary Contact Person Telephone Street Address of Program or Agency (if appropriate) Postal Code Mailing Address (if different from Program or Agency Address) Postal Code By checking this box, I consent to be sent s and other communications from the City of Vancouver about Social Policy grants and other updates and information about Social Policy initiatives. I understand that I may unsubscribe from the City s list at any time by clicking the unsubscribe link that will appear at the bottom of each . Briefly describe your organization s purpose and goals and, in general terms, what it is that you do. Briefly describe the services or programs and staff position(s) for which you are requesting a grant. Total 2017 operating budget of entire organization $ Total 2017 budget for requested service or program $ Amount of 2017 GRANT REQUEST $ To be completed by Social Policy staff Social Planner: Grant Recommended $ CONDITIONS (y/n): IMPORTANT: A copy of this page is presented to City Council. 1

3 PART A - Organizational Overview 1. Under what legal name is your Organization incorporated? Please indicate the full legal name as shown on your Organization s incorporation documentation: 2. How is your Organization incorporated? Please indicate whether your Organization is incorporated under the Society Act (British Columbia), Co-operatives Act (British Columbia), or Other, please specify: (a) Please provide your incorporation number (e.g. BC Society Number or equivalent) 3. Is your Organization in good standing under its incorporating statute (e.g. for a BC Society or Co-operative this would be the case if your annual reports to the Registrar of Companies were up-to-date) Yes/No 4. Is your Organization registered with Canada Revenue Agency as registered charity? Yes/No 5. If a registered charity, please provide your official tax receipt number as issued by Canada Revenue Agency: 6. Are staff permitted to be voting members on the Society Board? Yes/No 7. Are any board directors remunerated for being a director? Yes/No 8. Number of Staff in the Entire Organization in 2016 Full time permanent Full time seasonal Part time permanent Part time seasonal 9. Hours (a) Total regular weekly hours of core operation: (b) If there have been any changes in hours over the past year, please describe: Note: The above box will expand as you type. 10. Physical accessibility: Is your office/program space wheelchair accessible? Yes/No 2

4 Healthy City Strategy In October 2015, Vancouver City Council approved the Healthy City Strategy (HCS). The HSC is a long term and integrated plan that helps us think, work and act together in new ways to change the conditions that impact the health and well-being of people, place and planet. It is the City s plan for social sustainability and consists of 13 goals. The HCS also builds on important research and data that will be shared on the City s website and can be used by non-profits and the community to gain a better understanding of their neighbourhoods and how Healthy City goals are being advanced. To learn more about the Healthy City Strategy please visit: The following question introduces you to the 13 HCS goals and will help us to gain a better understanding of how the work that you are proposing in this application links with one or more of the HCS goals. (This information will be used for aggregated statistical purposes only and will not be used to report on any one program.) Please check below all the HCS goal areas that will be supported in a significant way by the program you are proposing in this application. (Many programs may only significantly contribute to one goal; others may contribute to multiple goals. The number of goals checked will not be a funding consideration.) 1) A Good Start: Vancouver s children have the best chance of enjoying a healthy childhood A good start in life is critical for our long term health and well-being. Our physical, social, mental, emotional and spiritual development as children is affected by diverse issues. Your program works in areas like the development of loving and secure attachments, the safety and security of housing and neighbourhoods, and access to nutritious food and quality child care. 3

5 2) A Home for Everyone: A range of affordable housing choices is available for all Vancouverites. Vancouver is a growing and diverse city with significant housing challenges. Providing a range of housing options is critical to the social and economic health of our city. Your program addresses issues including the experience of homelessness, the quality of our housing and housing affordability. 3) Feeding Ourselves Well: Vancouver has a healthy, just, and sustainable food system. Food plays a powerful role in connecting people and in building strong and resilient communities. The City is working toward a just and sustainable food system by addressing a number of gaps in the food system. Your program addresses issues including equal access to healthy, affordable food; opportunities to better support the local food economy; and making more resources available for underserved and vulnerable communities. 4) Healthy Human Services: Vancouverites have equitable access to high-quality social, community, & health services. Our ability to access human services of various types when we need support impacts our health and wellbeing. This is particularly true for more vulnerable populations who may face multiple barriers to accessing services. Connecting to services can be a critical first step on the long road to greater mental and physical health and well-being. Your program assists non-profits to operate more effectively and helps vulnerable communities to connect to services. 5) Making Ends Meet and Working Well: Our residents have adequate income to cover the costs of basic necessities, and have access to a broad range of healthy employment opportunities. Vancouver is a city with a thriving economy, but it is also a city with high rates of poverty and with many people struggling to make ends meet. This inequity has social and economic costs that affect us all. Your program helps ensure that income is distributed more evenly in our society, and supports healthy work environments and jobs. 6) Being and Feeling Safe and Included: Vancouver is a safe city in which residents feel secure. A sense that we belong, that we are included and that we are safe in our communities are vital parts of our well-being. Whether threats to our safety are actual or perceived, they can have powerful and lasting impacts on our well-being. Vancouver is a place in which many individuals and groups are excluded from mainstream society. Your program supports a city in which vulnerable communities experience inclusion, belonging and safety. 7) Cultivating Connections: Vancouverites are connected & engaged in the places & spaces that matter to us Relationships are at the heart of a good life. Our social networks are a critical source of a myriad of supports. A sense of connectedness and engagement in the places and spaces that matter to us is critical for our physical and mental well-being. Your program supports people to feel more connected to social networks, and engaged in civic and community life. 8) Active Living and Getting Outside: Vancouverites are engaged in active living & have incomparable access to nature. Being physically active throughout our lives whether for recreation, work or transportation is good for our bodies and our minds. Your program provides opportunities to connect active living and getting outside by encouraging outdoor play, active transportation, and access to high quality parks, public spaces, and infrastructure for people throughout their lives. 4

6 9) Lifelong Learning: Vancouverites have equitable access to lifelong learning & development opportunities Learning is important throughout our lives. Gaining new skills and knowledge is important for responding to change, including maintaining employability and preparing for later life. Early learning contributes to school readiness and adult learning increases confidence and self-efficacy. Your program builds the skills and knowledge for people at different stages of their lives to help them achieve their goals and live their lives more fully. 10) Expressing Ourselves: Vancouver has a diverse and thriving cultural ecology that enriches the lives of all residents and visitors. Participation in arts and culture is critical to building a vibrant, livable and healthy city. Arts and cultural events range from large scale performances, to street festivals and small-scale community art projects. Each type of activity plays a different but important role in improving our individual and collective well-being. Your program uses art and cultural activities to bring people together often providing an important antidote to social isolation. 11) Getting Around: Vancouverites enjoy safe, active, and accessible ways of getting around the city Although Vancouver has some of the healthiest citizens in North America, chronic health issues associated with sedentary lifestyles are a major concern. Your program promotes active transportation - walking, wheeling, cycling, boarding or riding public transit - by allowing people to make exercise part of their daily routine. 12) Environments to Thrive: Vancouverites have the right to a healthy environment and equitable access to liveable environments in which they can thrive Healthy, livable urban environments are characterized by complete, compact and connected communities. There are many interconnected ways in which healthy urban environments lead to better physical and mental health outcomes and abundant opportunities to thrive that can be sustained in the face of local, regional and global challenges. Your program supports key components including a well-planned built environment, a sustainable natural environment, a thriving economic environment and a vibrant social environment. 13) Collaborative Leadership: Collaborative Leadership for A Healthy City For All Health and well-being are everyone s business, and working collaboratively to find solutions that benefit everyone is the best way to create a healthy city for all. Moving the dial on complex social issues requires a coordinated approach based on strong and meaningful partnerships. We need to continue to try different things and to do things differently to transform the systems that gave rise to our existing social, economic and environmental challenges. Your program supports integrating and aligning efforts across all partners to address the complex challenges that we face together. 5

7 PART B - Service/Program Overview NOTE: If your organization delivers a range of services to non-profit organizations and individuals, please limit your responses in the next sections to the work for which you are seeking a City grant. THE ORGANIZATIONS THAT YOU SUPPORT 1. Is the primary purpose of the program or service for which your are seeking a City grant intended to improve the ability of other non-profit organizations to deliver social services and/or to address social issues and/or to navigate change. Yes/No 2. (a) List the non-profit organizations that have benefited from your organizational capacity building work in the past year. If there are more than 5, just list the 5 that you have been most actively engaged with. Name of Organization Supports Provided Please limit your response to less than 100 words (b) If there are more than 5, how many organizations did you serve in the past year? 3. What percentage of the organizations that you serve are Vancouver-based, serving primarily Vancouver residents? % 4. (a) Has your work resulted in the development of new networks and contacts? Yes/No (b) If yes, please describe: Note: The above box will expand as you type. 5. How do you become informed about the needs of the organizations that you serve? Note: The above box will expand as you type. 6

8 HOW YOU DO YOUR WORK Dealing with diversity 6. Describe what steps you take to ensure that your services and programs are appropriate, relevant and accessible to the diversity of organizations and/or diversity of people that you serve. Note: The above box will expand as you type. 7. Describe how you access and enhance the expertise and experience that exists within the organizations that you serve. Note: The above box will expand as you type. 8. On April 5, 2016 Vancouver City Council passed a motion called Because It s 2016: Action on Gender Equality. The motion made a number of commitments including that Social Policy Grants ensure that funding and support enables equitable delivery of services for women and girls. Please indicate what steps your program takes to identify barriers to access and ensure equitable delivery of service for women and girls. 9. (a) How many of the staff and volunteers who are involved in providing this service have the capacity to serve clients in a language other than English? (b) What languages (other than English) do they use? i. ii. iii. iv. v. vi. 7

9 VOLUNTEERS 10. Please list the number of volunteers who support the work of your organization. List the hours they work for the organization as a whole and for the program that you are applying for. (Volunteers are defined as people who are not remunerated with pay and who work directly with service users, provide administrative support, or help with special events. Regular volunteers are involved year-round and casual volunteers are only involved with activities such as special events or one-time programs.) (a) (b) (c) (d) Last year, Number of regular volunteers Total annual regular volunteer hours provided (estimate) Last year, Number of casual volunteers Total annual casual volunteer hours provided (estimate) For entire organization For service/program (e) Please provide specific examples of what volunteers do to support this service/program and describe any changes in the volunteer program. Note: The above box will expand as you type. STAFF INFORMATION 11. Please provide the following information for all staff that are involved in providing the service or program for which you are seeking City funding in this application. Title/position # of staff Regular / average hours of work per week for the funded program Total salaries & benefits for fiscal year starting in (only the proportion of the salary for funded program) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL $ $ $ Changes in hours or positions? e.g. new hours from 20 hours in 2016 to 40 hours in 2017 NOTE: Total salaries should be the same at left as in Program Budget Part C, Q2 8

10 OTHER INFORMATION 12. If you have any other important information about this service, please provide it here. Note: The above box will expand as you type. 9

11 PART C Financial Information 1. Operating Budget for the Entire Organization NOTE: The application form requires an Operating Budget for the Entire Organization. The template for the Operating Budget for your entire organization is in a separate Excel document. You must remember to include this budget with your hard copy application and remember to it to us with your electronic application form. MAIL 2. Budget for the Requested Service/Program (The Total Revenue for the 2017 Proposed Budget provided below should be the same as the Total 2017 Budget for the requested service or program provided on the front page.) For your fiscal year beginning in: REVENUE SOURCES, including the value of in-kind donations. (List each separate revenue source, including specific Provincial Ministries, Federal Departments, Foundations, etc.) 2015 Fiscal Actual 2016 Fiscal Actual or Projected 2017 Fiscal Proposed Budget 2017 Confirmed Yes or No? City of Vancouver, OCB Grant TOTAL REVENUES EXPENDITURES Salaries + benefits (For this service only. Total salaries should be the same as in Part B, Q11.) Program Expenses Administrative Expenses Other expenses TOTAL EXPENDITURES Surplus/deficit 10

12 PART D Outcomes Measurement Framework Type of Support Please identify which of the following supports your organization provides to other organizations. Complete the outcomes measurement framework tables 1 and 2 for the support(s) that you identified. If you provide more than one type of support please include each one in your outcome measurement framework. A. increasing the amount of resources available (e.g. access to centralized information and referral, volunteer recruitment and coordination). B. improving the utilization of resources (e.g. assistance to become computerized and internet competent). C. improving the management and allocation of resources (e.g. skills enhancement training and experiences, the development of support models for staff, Board and society members). D. providing linkages and coordination among a number of non-profit social service agencies operating a hub model service centre. 11

13 PART D - TABLE 1. Outcome Measurement Framework (max 3 pages) for what you propose to accomplish with a 2017 grant. See Information Sheet Appendix B for help with completing the table. Name of Organization: Type of Support (Listed on Page 11): INPUTS ACTIVITIES OUTPUTS SHORT TERM OUTCOMES INTERMEDIATE OUTCOMES LONG TERM OUTCOME 12

14 PART D - TABLE 2. Monitoring Plan (max 3 pages) for what you proposed in your 2017 Grant Outcome Measurement Framework (Table 1). See Information Sheet Appendix B for help with completing the table. Name of Organization: Type of Support (Listed on Page 11): SHORT- TERM OUTCOMES INDICATORS SOURCE/ METHODS AND FREQUENCY/ WHO WILL DO IT 13

15 THIS PAGE NEEDS TO BE COMPLETED BY HAND FOR YOUR HARD COPY SUBMISSION SIGNATURES By signing this application, you are indicating agreement with the following statement and conditions: We certify that, to the best of our knowledge, the information provided in this civic grant request is accurate and complete and is endorsed by the organization which we represent. If our organization receives a civic grant, we agree to the conditions set out below and to any other conditions approved by Council. We understand that this application and supporting materials are public documents, and that any member of the public may have access to all or any part of them. (Signature of two signing officers of the Board of Directors of the organization, NOT staff) Signature Title Date Print Name: Signature Title Date Print Name: Conditions 1. In the event that the funds are not used for the purpose as described in the application, or if there are misrepresentations in the application, the full amount of the financial assistance will be payable forthwith to the City. 2. If there are any significant changes in the funding of the program or service from that contemplated in the application, the City will be notified of such changes through the Office of the Managing Director of Social Policy forthwith. 3. The Organization will make or continue to make attempts to secure funding from other sources as indicated in its application. 4. The Organization will keep proper books of accounts of all receipts and expenditures relating to the program or service as described in the application. 5. The Organization will make available for inspection by the City or its auditors all records and books of accounts of the Organization upon request from the City. 6. If the program or service proposed in the Organization s application has not commenced, or is not completed and there remain City funds on hand, or is completed without requiring the full use of the City funds, such City funds will be returned to the City through the Office of the Director of Finance. 7. The program or service may not be represented as a City program, and the Organization does not have the authority to hold itself out as an agency of the City in any way; the only relationship being that the City has approved and granted financial assistance to the Organization. Please note: Once you submit your application and supporting attachments, they become public documents. Information provided may be used for statistical reporting purpose. Incomplete applications will not be considered. The City reserves the right to apply other evaluation criteria as it deems relevant. APPLICATION DEADLINE IS 4:30 PM FRIDAY, OCTOBER 14, 2016 (be sure to submit the completed application and all required documentation, as outlined on the next page) ALL required materials (hard copies and digital) must be received by the City no later than the deadline. 14

16 INSTRUCTIONS AND CHECKLIST FOR APPLICANTS When you have completed your application, please submit all of the following documents both by and as 2 hard copies: the electronic copy of all documents listed below to socialpolicygrants@vancouver.ca. Board signatures are not required. Give each of the application files a file name that indicates which organization it is coming from. Mail or deliver 2 printed copies of all documents listed below, with board signatures where applicable, by 4:30 pm October 14, 2016 to: Social Policy Division City of Vancouver West Hastings Street Vancouver, BC V6B 1H4 Note: We only need 1 hard copy of documents 3 through 12 when an organization is applying for more than 1 Community Services grant. 1) Word version of completed application form. 2) Excel version of Operating Budget for Entire Organization. 3) Completed grants review timetable with your availability for interview. 4) List of Board of Directors (including names, occupations and/or skills brought to the board and board positions held). 5) Your most recent audited statements (if you have not already sent them to us). If audited statements are not available, submit your most recent financial statements endorsed by two signing officers of the Board of Directors. The inclusion of these documents is a supplement to your application and not a substitute for completion of the financial information sections of the application form. 6) Minutes of your most recent Board meeting. 7) Minutes of your most recent AGM. 8) A copy of your society constitution/bylaws. 9) Job descriptions of any positions paid for by the civic grant. 10) An organization chart showing accountability and communication relationships. 11) Certificate of Incorporation as per Part A. 12) Annual Report, if available. Please note that City staff may require additional documentation when reviewing your application. 15

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