Grant in Aid Application Form (template / generic)

Identification of Applicant

• Organization Name:
• Mailing Address:
• Contact Person:
• Telephone:
• Email Address:

Applicant Information

1. Are you registered under the Societies Act?
   YES / NO

2. Are you a registered charity?
   YES / NO

   Society or Charity registration number:

3. Amount of funding requested:
   NOTE:

4. Did you receive a grant from the City of Langford last year?
   YES / NO

   If yes, please indicate the amount you were awarded:

Organization Information

Grant in Aid applications should demonstrate the value of your organization, project, or event to the residents of Langford. In this section, please demonstrate the way(s) your organization, project or event will positively impact residents.

5. What is your organization’s history of providing community

6. organizations?

Program / Project / Event Description

In this section, please take the time to explain your program, organization, project, or event in detail.

7. Please provide a description of the program, organization, project, or event and why a Grant in Aid from the City of Langford is required.

You may wish to include the following information:

• Who is your target audience?
• What are the goals and objectives?
• What is the anticipated outcome?

Work Plan and Attendance

• Please outline a work plan and timeline
• How many attendees/participants from Langford are you expecting?

8. Should your application be awarded less than the requested amount, what are the anticipated impacts?

Budget Information

• BUDGET INFORMATION

• can count on it) and speculative (applications submitted such as grants, partnerships, etc. that you have not

• please explain below:

10. Please outline your attempts to secure additional funding from other sources. Please provide details about funding (if any) that has been secured by other governments at any level (local, provincial, federal):

Environmental & Volunteer Information

11. What environmental and sustainability initiatives/aspects will form/are already part of the event, project, program or organization?

12. Are you looking for volunteers from the community for your event, project, program or organization?
    YES / NO

    If yes, where can interested parties contact you for more information or to apply?

Submission Checklist and Contact Information

Before you submit your application, please review the list below to make sure you have everything completed.

Mandatory Items:

• Your current
• with a postal code.
• You have
• on page 1
• of this document.
• You have
• to this application.
• You have
• to this application.

If you have any questions about this form, the application process, or the Grant in Aid program, please contact the

Send us an email:

Call us: 250-478-7882

Mail: Langford City Hall 2nd Floor, 877 Goldstream Avenue V9B 2X8

Please submit completed applications by email to or by mail to the address above. We do not require a printed copy of your application.

nd Floor of 877 Goldstream Avenue V9B 2X8.

Applications will be compiled for presentation at a Community Advisory Committee meeting. The Committee will review your application and forward a recommendation to Council for consideration

your application will come from Council.

The person you have selected as your contact person on page 1 of this form will be contacted with the timelines including Committee and Council meeting dates. It is recommended that a representative from your organization be available to attend meetings at which your application will be appearing either in person or online through Zoom.