2021-2022 Community Grant - Application Form

Please fill out the below survey to complete your application for the 2021-2022 CEC Community Grant Program.

Prière de noter que bien que les questions soient en anglais, vous êtes les bienvenues à répondre dans la langue de votre choix.

Question Title

* 1. Contact Information: Applicant lead

Name

Self-identified gender and/or race

Province

Email Address

Phone Number

Question Title

* 2. Contact Information: Affiliated business or organization

Name

City/Town

Province

Email Address

Phone Number

Question Title

* 3. Letter of support from the affiliated business (if applicable) is to be sent to diversity@climbingcanada.ca

I agree

Question Title

* 4. Project Title

Question Title

* 5. Which focus are you applying for?

Gender Equity

BIPOC Representation

Question Title

* 6. Which of the following motivators/barriers does your project focus on? Check all that applies.

Amplifying Social Influences Motivator

Creation of Supportive Communities

Removing barrier - Financial Constraints

Removing barrier - Health-Related Issues

Removing barrier - Access to Training and Skill Development Programs

Removing barrier - Fear of Discrimination and Exclusion

Removing barrier - Perceived Lack of Skills or Abilities

Other (please specify)

None of the above

Question Title

* 7. Project Description (approximately 300 words)

Please include project goal(s), target audience, timeline for implementation, why this project is needed in your community, and how you will address the selected motivator/barrier.

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* 8. Describe how you will measure your success and outcomes.

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* 9. What is your budget ask, and how will you be spending this money?

Question Title

* 10. How will you safely implement this project during the COVID-19 pandemic?

Please include contingency plans, safety measures, and needed precautions.

2021-2022 Community Grant - Application Form

Question Title

* 1. Contact Information: Applicant lead

Question Title

* 2. Contact Information: Affiliated business or organization

Question Title

* 3. Letter of support from the affiliated business (if applicable) is to be sent to diversity@climbingcanada.ca

Question Title

* 4. Project Title

Question Title

* 5. Which focus are you applying for?

Question Title

* 6. Which of the following motivators/barriers does your project focus on? Check all that applies.

Question Title

* 7. Project Description (approximately 300 words)

Please include project goal(s), target audience, timeline for implementation, why this project is needed in your community, and how you will address the selected motivator/barrier.

Question Title

* 8. Describe how you will measure your success and outcomes.

Question Title

* 9. What is your budget ask, and how will you be spending this money?

Question Title

* 10. How will you safely implement this project during the COVID-19 pandemic?

Please include contingency plans, safety measures, and needed precautions.

Question Title

* 11. What challenges may you face in this project?

Question Title

* 12. Any other details you would like to share with the Diversity & Inclusion committee?

2021-2022 Community Grant - Application Form

Question Title

* 1. Contact Information: Applicant lead

Question Title

* 2. Contact Information: Affiliated business or organization

Question Title

* 3. Letter of support from the affiliated business (if applicable) is to be sent to diversity@climbingcanada.ca

Question Title

* 4. Project Title

Question Title

* 5. Which focus are you applying for?

Question Title

* 6. Which of the following motivators/barriers does your project focus on? Check all that applies.

Question Title

* 7. Project Description (approximately 300 words)Please include project goal(s), target audience, timeline for implementation, why this project is needed in your community, and how you will address the selected motivator/barrier.

Question Title

* 8. Describe how you will measure your success and outcomes.

Question Title

* 9. What is your budget ask, and how will you be spending this money?

Question Title

* 10. How will you safely implement this project during the COVID-19 pandemic?Please include contingency plans, safety measures, and needed precautions.

Question Title

* 11. What challenges may you face in this project?

Question Title

* 12. Any other details you would like to share with the Diversity & Inclusion committee?

* 7. Project Description (approximately 300 words)

Please include project goal(s), target audience, timeline for implementation, why this project is needed in your community, and how you will address the selected motivator/barrier.

* 10. How will you safely implement this project during the COVID-19 pandemic?

Please include contingency plans, safety measures, and needed precautions.