Please ensure you have completed the Letter of Support from your local fire department or other authorizing organization and the Budget Template prior to submission.

If you have any questions about the application, please contact communityimpact@wawanesa.com.
Project Applicant
Please provide the name of your organization:

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* 1. Organization Name

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* 2. Organization website URL (if applicable):

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* 3. Project Name

Project Contact
Please provide the details for the primary contacts for your application

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* 4. First Name

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* 5. Last Name

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* 6. Email

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* 7. Phone Number

Secondary Contact

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* 8. First Name

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* 9. Last Name

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* 10. Email

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* 11. Phone Number

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* 12. Organization Type

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* 13. Organization Street Address

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* 14. Address Line 2

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* 15. City

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* 17. Postal Code

Project Overview

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* 18. Project Start Date

Date

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* 19. Project End Date

Date
Share some specifics about your project and area

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* 20. Town, city or community where the project work will be executed.

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* 22. Is your community urban, rural or remote?

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* 23. Please indicate the approximate percentage of your community that is made up of the following resident types:

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* 24. Project Type

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* 25. Which of the Seven FireSmart™ Disciplines does your project's wildfire prevention activities best align to? (please select as many as applicable). Reference www.firesmartcanada.ca/about-firesmart/the-seven-firesmart-disciplines/

Detailed overview of your proposed project

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* 26. Please describe your community’s wildfire prevention project?

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* 27. Tell us why this project is needed and the issues that your community faces when it comes to wildfire? Include data or statistics where available.

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* 28. How will this project help your community prevent wildfires or reduce your risk of loss from wildfires?

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* 29. Who will do the work?

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* 30. Who will be impacted by the project outcome? Please note any vulnerable community members.

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* 31. What are the long-term impacts of this project work?

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* 32. How will you communicate this project with the community? Example: community/town hall, local radio and media, education seminar, etc.

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* 33. How will you measure the positive impacts of your project on your community?

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* 34. Is the community supportive of this wildfire prevention project?

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* 35. Projected # of households positively impacted by proposed project

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* 36. Projected # of individuals positively impacted by proposed project

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* 37. Population of overall community/city/neighbourhood/area

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* 38. Has your community undertaken wildfire prevention or mitigation activities before? If so, when and what were they?

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* 39. Confirm that if your project is chosen to receive a grant, Wawanesa will reach out following the funding to have your organization provide photos or videos of the before and after project work, quotes from project participants and community members and a short project description outlining the work completed and the impact? Please gather all contributing individuals names and permissions to be included in the project reporting. Some projects may be selected to be featured on the Wawanesa website and/or social media.

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* 40. Has your project been endorsed by your local Fire Department or other authorizing organization?
Only projects developed in partnership or with the explicit endorsement from your local fire department or authorizing organization will be considered for selection. This is to ensure selected projects are aligned to overall community goals for wildfire prevention.

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* 41. Please upload a signed "Letter of Support" as proof of endorsement from your local fire department or other authorizing organization.

Don't have this document? You can download a template for the "Letter of Support"

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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