Application Form - VOCM Cares Foundation

Section 1 - Applicant Information
Please provide the requested information in the space provided. If necessary, attach additional information to this form.
Name of Organization
Charitable Registration Number*
Address
Contact Name
Phone
Email
Website
Please make a selection*
- New applicant
- Applied for funding within the last 24 months

Section 2 - Project/Program Description
Please provide the requested information. If necessary, attach additional information to this form.
Name of Project/Program
Amount Requested from VOCM Cares Foundation
Project/Program Duration - Start Date
Project/Program Duration - End Date
Objective(s) of project/program (measurable outcomes)
How will project/program be evaluated? What method(s) will be used to measure effectiveness?
Are there plans to continue this project/program? Explain.

Section 3 - Community Priority / Planning
Why is this project/program a priority in the community?
Will the project/program demonstrate a new or unique approach in the community? Explain.
Does a similar project/program exist in your community? If so, please identify and state why your organization is involved in a similar initiative.
Is the issue/condition that will be addressed by your project/program a new, emerging or long-standing issues?
How many people does the issue / condition affect?
Will other community organization be involved with this project? If so, please list name and type of involvement.
Are there other funding partners? Private sector, foundations, and/or government? Please list all including pending requests, and request amounts.
How do you plan to acknowledge support from the VOCM Cares Foundation?
Project/Program Budget (Expenses/Revenues). Please attach detailed budget related to the project/program including in-kind donations/services and contributor*
Accepted file types: pdf, doc, xdox.
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Section 1 - Applicant Information