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Building Community Together Grant (BCTG)

Purpose

Use this form to submit a request to apply for the Building Community Together Grant with the City of Burlington.

Supporting document:

Notice of Collection

Personal information on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25, as amended, to administer the Burlington Community Together Grant. Questions about this collection should be directed to the Supervisor of Business Services, Recreation, Community and Culture, 426 Brant Street, P.O. Box 5013, Burlington, Ontario, L7R 3Z6 T: 905-335-7738 E: liveandplay@burlington.ca.

Section A – Project Overview

Project title:

Amount of funding requested ($)

Total project cost ($)

Project Location/address or (nearest intersection)

Brief summary: What are you doing and why? (150 words max)

Section B – Neighbourhood and Need

Describe the neighbourhood and who will benefit.

What issue or opportunity are you addressing? (250 words max)

How does the project align with the BCTG goals? (check all that apply and explain)

Strengthen connection between neighbours

Create welcoming public spaces that focus on residents gathering together

Encourage collaboration between residents, businesses, and community partners

Please explain project alignment from options selected above:

Section C – Inclusion and Engagement

Who is involved in planning and implementation?

How will you engage and be open, inclusive, and accessible to all community members?

Show how the project will be supported by the community (in kind services, volunteer hours, donations, equipment, upkeep, etc.)

Attach evidence of neighbourhood support : outreach logs/ flyers/ mail drop information

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Did you notify residents within 120 m of the site (or provide equivalent outreach)?

Yes

Section D – Project Plan and Feasibility

Are you aware of any permits or approvals that would be required for your project/plan? (building, tree, road, etc.)? Please share.

Risk management/insurance plan (select one):

Currently hold liability insurance ≥ $2M

Will obtain insurance independently

Will obtain insurance through the City program

Section E – Sustainability, Evaluation and Recognition

Describe how the project will be maintained or sustained after completion (250 words max)

How will you acknowledge the City’s support (logos, plaque, hashtag #BCTG, etc.)?