Heartwood House: Au coeur de la vie 404 McArthur Avenue, Ottawa, Ontario - K1K 1G8 PERMANENT SPACE APPLICATION FORM BACKGROUND INFORMATION

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1 Heartwood House: Au coeur de la vie 404 McArthur Avenue, Ottawa, Ontario - K1K 1G8 PERMANENT SPACE APPLICATION FORM BACKGROUND INFORMATION Our history: Heartwood House was incorporated on March 12, Its birth is the vision of a group of highly dedicated people who believed in the benefits of non-profit organizations working together under one roof. Heartwood opened its doors at 153 Chapel Street on September 1, 2001 and its development has grown to a home of its own now located at 404 McArthur Avenue in the Vanier/Overbrook community. Heartwood House owns a 26,000 square foot facility just east of downtown Ottawa. Heartwood Board of Directors: 2015 Isobel Bisby (co-chair), Pat Day (treasurer), Marg Fallis, Anthony King, Kim Oastler, Hoppy Roy (secretary), Barbara Merriam (co-chair), Tara Templin and Tanya Wayne. Heartwood Executive Director - Maureen Moloughney Mission: Heartwood House is a non-profit charitable organization dedicated to supporting small non-profit and charitable organizations. We believe that we are far better together under one roof, achieving our respective missions in a community environment that provides the opportunity for member organizations to learn from each other, while serving clients more creatively, efficiently, and cost-effectively than operating in isolation. Vision One roof, many voices; a community model for social change. Values Community: We are welcoming, inclusive and respectful, and share a common set of values with our member organizations in our quest to serve the community and their clients. Collaboration: We are far better together than we could be working in isolation. Through cooperation and collaboration, member organizations are able to better serve the community and their clients. Accountability: We are accountable to our member organizations, our community partners, the community we serve and those that fund our organization. Responsibility: We take our responsibility to our member organizations seriously and know our members in turn understand their responsibilities to Heartwood House. Sustainability: We work to ensure Heartwood House is sustainable for the future. We consider the long-term effects of our planning decisions. 1

2 Community Collaboration: Our Member Groups commit to: a) Create a welcoming and hospitable environment; b) Define an evolving process through which we will share and grow together; c) Determine a process to achieve financial independence including fundraising. Rental Information and other details about Heartwood House: square footage rate is $17.24 (to increase to $18.10 April 1, 2016.) 2. Membership fees - spaces under 300 square feet - $50 per month - spaces over 300 square feet - $100 per month 3. Internet - $12 per month - internet service through Rogers. 4. Phone system is with Rogers. 5. Meeting rooms available to accommodate up to 200 people - community room (1-20) - $5 per hour - Heartwood room - (1-15) - $5 per hour - conference room (1-35) - $7 per hour - sanctuary (35 to 200) - $12 or $15 per hour 6. Parking - full-time - $50 per month - part-time parking also available. On-street three hours parking also available. 7. Community print shop - 9 cents black and white - 30 cents colour - Fax machine - available in reception office. 8. Reception office operating hours: September 1 to June 30 Monday - Tuesday: 8:00am to 7:00pm Wednesday - Thursday: 8:00am to 7:30pm Friday: 8:00am to 5:00pm Summer Hours - July 1 to August 31 Monday - Tuesday - Thursday: 8:00am to 5:30pm Wednesday: 8:00am to 7:30pm Friday: 8:00am to 5:00pm 9. Mail and courier packages received by reception staff each day. Member group mailboxes are in the reception office. 10. Daily garbage pickup - garbage left outside offices at 3p.m. each day for pickup. Heartwood recycling program in place. 11. House common spaces - washrooms, hallways and meeting rooms are cleaned each day from Monday to Friday. 12. Community kitchen and kitchenette available for members. 13. On-site Confectionary with snack bar, Indian restaurant as well as in-house community Souper (homemade soup) Wednesdays. 14. Monthly member meetings and HHcommunity system for on-going communication. 15. Security camera and fire alarm system. 16. Elevator at front entrance - fully accessible building 17. OC Transpo bus access - number 14 stops at our building. This bus travels to the Rideau and St. Laurent Centres. 2

3 FULL TIME SPACE APPLICATION Please complete and return this application to Maureen Moloughney Executive Director. Maureen can be reached at Heartwood fax number (613) APPLICANTS MUST: a) Be a registered nonprofit or registered charitable organization; b) Support the mission and values of Heartwood; c) Have liability insurance; d) Host the majority of its meetings and activities at Heartwood House. APPROVAL: The Heartwood Board is responsible to approve all groups for full-time membership in the Heartwood community. GENERAL INFORMATION: (please print) Name of organization: Name of contact person: Position in organization: Address of organization Street: City: Province: Postal Code: Contact information: Telephone number: Fax number: address: Web site address: 3

4 BACKGROUND INFORMATION: What year was your organization incorporated? What is your charitable or non-profit registration no.? Do you have a board of directors? Yes No How many paid staff do you have? Do you have volunteer staff? Yes No What are your operating hours? FINANCIAL: Please provide your audited statement What are your sources of funding? What is your annual operating budget? Revenues: Expenses: (Audited statement will be requested prior to interview with board committee) Do you fundraise? Yes No Please describe your fundraising activities: What is your annual fundraising target? Do you have insurance? ORGANIZATION: What is your mission? 4

5 What service(s) do you provide? Please describe your delivery of service activities: How many people do you serve? Do you have a membership? Yes no If yes how many members? LANDLORD INFORMATION: What is the name of your landlord? Landlord: Name of contact: telephone: Please describe what your current space looks like: What is your monthly rent? When does your lease expire? What is the maximum monthly rent you can afford? Does your rent include parking? Yes No Does your rent include utilities? Yes No How many parking spaces do you need? INSURANCE INFORMATION: Does your organization have insurance? Yes No What is the name of your insurance provider? Insurance is a requirement at Heartwood (not less than $2,000,000 is required Heartwood must be additional insured on your policy) Copy of insurance must be provided if accepted. 5

6 HEARTWOOD HOUSE Why is your organization interested in Heartwood? WHEN? If accepted when would you like to move into Heartwood House (pending space availability) SPACE NEEDS: What are the important needs for your space? Please describe what your space would look like: Name of person who completed this application: Signature: date: 6