Ontario Mutuals Grant Application

4-H Ontario is grateful and appreciative of the annual sponsorship funding we receive from Ontario Mutuals. In order to receive this grant, Ontario Mutuals requires 4-H Ontario to report how the funds were spent. To apply for this funding:

1. Complete the application below for your $250 association grant ensuring that you have previously submitted the Agency Agreement (non-charities) or Funding Agreement (charities) to 4-H Ontario. This application is the same as Schedule B in the Agency/Funding Agreement which require you to provide information on how the funds will be spent.
2. Complete a final report to share the outcome of your activities/initiatives.

The deadline to submit this application is November 30, 2022. After you have completed the project/initiative, please submit your final report with receipts to be granted the funds. Deadline to submit receipts is December 31, 2022.

Applicant Information

Name *

First

Last

4-H Association *

Name of activities/initiatives *

Purpose of the activities/initiatives *

Description of activities to be conducted with funds *

Benefit to 4-H Ontario's charitable purposes *

Start date of activities/initiatives *

End date of activities/initiatives *

Location/address of activities/initiatives *

Who will benefit from the activities/initiatives? *

Timeframe and deliverables

The Association shall arrange for and supervise the project in accordance with the timeframe & deliverables below. The Association shall, as much as possible, endeavour to complete the project in accordance with this timeframe and deliverables.

Activity/Initiative

Target Date

Activity/Initiative

Target Date

Activity/Initiative

Target Date

Estimated Project Budget

The Association shall, as much as possible, endeavour to complete the project within this Estimated Project Budget.

Item

Cost

Item

Cost

Item

Cost

Total Project Costs *

Funding Agreement (Charities)/ Agency Agreement (Non Charities) *

Click or drag a file to this area to upload.

Please upload your completed agreement.

Signature

Clear Signature

Submit