2026 Community Grants Application

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1. General Information
Organization Name*
Mailing Address*
Street Address Address Line 2 City Province Postal Code
Contact Person*
Title*
Email*
Phone*
Please indicate which of the following applies.*
- Our organization is a charity registered with the Canada Revenue Agency
- Our organization is not a registered charity, but is partnering with a registered charity or municipality on this project (Please complete Appendix A)
If Registered Charity provide Registration Number here*
If Registered Charity provide Date of Incorporation*
Organization Mandate / Mission Statement*
Maximum 200 words.
We would like to keep in touch with you.
- I consent to receiving electronic messages from the Community Foundation for L & A
Senior Staff Person (Name and Title) When you have completed and submitted the electronic application, you will be sent a PDF version by email. If this application is from a school, please send a letter of support from the Principal to *

2. Project Profile
Project Title*
First and Last Name
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Please provide a brief description of the objectives of your project.*
Maximum 200 words.
How will success of this project be measured?*
Maximum 200 words.

3. Project Impact
How many members of the community will benefit from this initiative?*
How many youth under 18 will benefit?*
Describe how your project will impact the Lennox & Addington community.*
Maximum 400 words.

4. Project Finances
Organization Total Annual Operating Budget*
Total Project Budget*
Amount Requested*
Funding Sought from Other Sources?
- Yes
- No
Source of funds?*
Were you successful?*
- Yes
- No
How much did you receive?*
Please provide a financial breakdown of how the Community Foundation for L&A funds would be used in your project.*
Maximum 400 words.
How will you recognize the Community Foundation for Lennox & Addington for supporting your project.*
Sign off to complete form*

APPENDIX A - 2025 Community Grants Program Application Form, Grant Sponsorship Agreement
- Note: Applicants that are not a registered charitable organization must be sponsored by another organization that is a charity registered in Canada. If you require a sponsor but have difficulty locating one, call or visit the Community Foundation for Lennox and Addington offices for assistance.
Between
Name of Sponsoring Registered Charity*
,here in after referred to as "the Sponsor"
Name of Applicant*
First Last
,hereinafter referred to as "the Applicant"
1. Although the Community Foundation for Lennox and Addington (the Foundation) is not a party to this agreement, the Sponsor and the Applicant acknowledge that they enter into this agreement as a condition of the Foundation receiving and considering an application form the Applicant for a grant to fund, in whole or in part, an activity or project proposed by the Applicant.
2. This agreement is entered into because the Applicant is not a registered charity but is partnering with a municipality or a registered charity for the purpose of applying to the Foundation for a grant of money.
3. The Sponsor hereby confirms that it is a municipality or a registered Canadian Charity under the Canada Revenue Agency (CRA):
CRA Charitable Number
CRA Charitable Number Issue Date
MM slash DD slash YYYY
The Sponsor hereby agrees to receive and manage any funds granted to the Applicant and to:
- Segregate granted funds from those of the Sponsor and account for them by keeping separate books and records.
- Pay out granted funds to the Applicant by installments on satisfactory confirmation of reasonable progress where a funded need or project is staged.
- Ensure that granted funds are applied strictly to the specific purpose(s) set out in the Applicant's grant application and approved by the Foundation.
- Where applicable at its discretion, set parameters for and inspect and/or receive written progress reports from the Applicant.
- Withhold granted funds from the Applicant if parameters referred to in Paragraph 3 (d) are not satisfactority met.
- Ensure that any funds granted by the Foundation to the applicant are expended within the year in which they are granted.
- Review and co-sign the Applicant’s final report to the Foundation due within 12 months after receiving funding unless otherwise directed.
- Notify the Foundation of any permanent withholding of funds from the Applicant.
- Return to the Foundation any funds permanently withheld from the Applicant together with a brief summary of the reasons for the withholding.
This agreement attaches to and forms part of the application for funding submitted by the Applicant to the Foundation
For the Applicant (Name)*
Applicant Email*
Application Date*
MM slash DD slash YYYY
Applicant Consent*
I agree to the terms of this agreement.
Name of Applicant*
First Last
For the Sponsor (Name)*
Email
Sponsor Sign Date*
MM slash DD slash YYYY
Sponsor Consent*
I agree to the terms of this agreement.

2026 Community Grants Application

Step 1 of 5 - Organization Information

1. General Information

2. Project Profile

3. Project Impact

4. Project Finances

APPENDIX A - 2025 Community Grants Program Application Form, Grant Sponsorship Agreement

The Sponsor hereby agrees to receive and manage any funds granted to the Applicant and to:

This agreement attaches to and forms part of the application for funding submitted by the Applicant to the Foundation