2025 MISCELLANEOUS GRANT PROGRAM APPLICATION FORM

GROUP / ORGANIZATION NAME:

Applications must be received by: Monday March 3, 2025 by 3:00pm
*Miscellaneous Grant Program Estimated Budget: $7,500
*No Application Request Amount Shall Exceed $500
*No Application Request Shall Include the Waiving of Fees for Municipal Buildings & Facility Rentals
*No Application Shall Request that the Municipality Pay for Individual User Group Insurance
The Municipality of Hastings Highlands Miscellaneous Grant Program aims to support Charitable Organizations and Not-For-Profit Community Groups to provide new and improved programs, initiatives and events that benefit the residents of Hastings Highlands

Activity Title:

Activity Venue:

Start Date:

Finish Date:

Activity Type:

Initiative

Program

Event

Other

Demographic of People Served by Activity:

Entire Community

Seniors

Children

Other

Brief Activity Description – Please provide a clear and concise proposal summary including the goals and objectives of your proposal (50 words):

Applicants may attach additional supporting documents to their application.

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

Amount Requesting:

Approximate Cost of Activity:

Have You Made A Request To Municipal Council in The Past?

Yes

If yes, please provide a brief history below:

APPLICANT DETAILS

Group/Organization Name:

Cheque Payable To:

Primary Contact Name:

Position Held:

Mailing Address:

Telephone Number:

Email Address:

ELIGIBILITY

Are you a registered for not-for-profit organization?

Yes

Please provide your Revenue Canada Charitable Registration Number (if applicable):

FINANCIAL CONDITION

What steps have you taken to explore other sources of financial support?

What will be the implications for your proposal if a municipal grant is not approved?

Have you attached any additional supporting documents?

Yes

If you have attached supporting documents, how many pages?

A follow-up report must be submitted to Council showing when and how any awarded funds were spent (including receipts, if applicable) within 90 days after the event, or the last date of theevent if there are multiple dates. Reporting can be submitted to [email protected] or in person at the Hastings Highlands Municipal Office located at 33011 Hwy 62 North, Maynooth ON K0L2S0. Failure to submit a report may result in the Municipality requesting funds be reimbursedand the applicant will be ineligible for future applications.

Applicant Name

Date

Signature (Typed)

Thank you for applying to the Municipality of Hastings Highlands Miscellaneous Grant Program. All applicants will be notified by formal letter of Council’s decision regarding their application.

Applications can be submitted as follows:

In-Person/Mail Applications:
Please return this application, with any additional supporting documents to:
The Municipality of Hastings Highlands
Box 130, 33011 Hwy 62 N
Maynooth ON K0L 2S0

Electronic (Email) Submission:
Email a copy of the completed application, with any additional supporting documents to: [email protected]

Online Form available at www.hastingshighlands.ca

Notice of Collection: This application may contain “Personal Information” as defined under the Municipal Freedom of Information Act and Protection Privacy Act. This information is being collected and used by the Municipality of Hastings Highlands to assist Council with determining the allocation of funds made available through the Municipality's Miscellaneous Grant Program which aims to support Charitable Organizations and Not-For-Profit Community Groups in Hastings Highlands. The information contained within this application and any subsequent follow-up may be published in the Municipality's Meeting Agenda(s) or Minutes which are made available to the public. Questions about the collection of this information should be directed to the Municipal Clerk, [email protected] or in person/mail to: Municipality of Hastings Highlands, 33011 Hwy. 62 N, Maynooth, Ontario, K0L 2S0.

Accommodations are available on request for applicants taking part in any/all aspects of the application process.