Haven for All - ENGAGE - Recreational Subsidy Programs Partnership Survey

Here at Northumberland United Way we understand how valuable recreational opportunities can be for individuals. We also recognize that due to financial barriers, these opportunities may otherwise be out of reach.

We are looking for partners who support participation in activities such as sports, arts program, camps and other community-based recreation. We hope to promote inclusion, healthy development, confidence, creativity and connection.

We are looking for partners to apply for a $5000.00 grant for recreational programs.

1.Organization Information(Required.)

Organizational Name:

Address:

Contact Name:

Phone:

E-mail:

2.What type of organization are you?(Required.)

A charity

Not for profit

Municipality

Unincorporated/Grassroots

3.Charity or Business Number (if applicable)

4.Are you a faith-based organization?(Required.)

Yes

5.Please provide your organization's mission statement and a summary of your programs here so we can better understand your organization and the impact that you have in the community served.(Required.)

6.Are you a living wage employer?(Required.)

Yes

7.Do you have current DEI policies and/or procedures?(Required.)

Yes

8.Do you provide bilingual service? (This is just to help us understand if you serve clients who speak French)(Required.)

Yes

9.How much are you requesting for your recreational subsidy program?(Required.)

10.What is your plan for distribution of these funds?(Required.)

11.How many clients are you hoping to reach with this program?(Required.)

12.By applying, you are agreeing to the following:(Required.)

Report how the program has helped your client at the end of each quarter.

Demographic reports submitted each quarter.

Thank you for your application.