EmailMe Form - Go Wild Community Grants

Name *
First Last
Email *
Phone
### - ### - #### Ext. ###
Organization name (if applicable):
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
You are applying as a: *
Registered charity
Not-for-profit
School
Concerned citizen
Other
Charitable registration number (if applicable):
Project name: *
Project location (city/region & province/territory): *
Expected start and end dates: *
List the members of your team (if applicable):
1. Please describe your idea. (This brief summary may be used in news announcements, communication materials and your grant agreement, should your application be successful.) (400 words)
2. Please check off the category (or categories) that best fits your project: *
1. Protect or restore
2. Practice or monitor
3. Celebrate or educate
If your project falls under category 1 or 2, please describe your methodology, as well as details about the location, placement of infrastructure (e.g., bat, bird boxes), connections to surrounding environment, interaction with native species, etc. Please include a map or photo of the site, if appropriate.
3. How many people will be directly involved in developing and delivering the project to your community?
4. How many people in your community will benefit from and participate in the project?
5. BUDGET
Please complete the table below and be as specific as possible. Should your grant be successful, you will be asked to report back on your actual project spending against the budget table below.
INCOME *

GO WILD Budget ($CAD) OVERALL PROJECT Budget ($CAD)

GO WILD GRANT VALUE REQUESTED ($1,000 — $7,000)

	GO WILD Budget ($CAD)	OVERALL PROJECT Budget ($CAD)
GO WILD GRANT VALUE REQUESTED ($1,000 — $7,000)

EXPENSES *

	GO WILD Budget ($CAD)	OVERALL PROJECT Budget ($CAD)
Staff (Please specify below)
Promotion & Communication (Please specify below)
Supplies & Equipment (Please specify below)
Other (Please specify below)
TOTAL PROJECT EXPENSES

Provide details for the above totals in the corresponding text boxes below:

Staff

Promotion and Communication

Supplies and Equipment

Other
6. Detail how you will use the funding requested for the implementation of your idea. It is important to explain how all the budget items requested above will be implemented/used. *
7. Do you expect any additional support from other sources (either in-kind or cash)? If so, please describe. *
8. Describe your timeline and implementation plan, as well as any public or private events, and associated dates. *
9. Who are your project partners (if any)? Do you expect to create any new partnerships? *
10. How will you spread the word about your project? *
11. How will you track participation in your project? *
12. How will you judge if your project has been a success? *
13. Are there opportunities for WWF to visit and help celebrate your project’s success? *
14. Go Wild Community Grants offers recipients the opportunity to share volunteer opportunities on our online channels. Does this project offer volunteer opportunities for:
Community members
WWF and TELUS volunteers
Please describe the volunteer role(s) and duration of volunteer hours expected:
Have you applied for a Go Wild Grant before? *
Yes
No
Have you ever received a grant from WWF-Canada? *
Yes
No
If yes, please let us know under which granting program and the year of the grant.
How did you hear about Go Wild Community Grants, presented by TELUS? Please check all that apply. *
WWF website or blog
Other website or blog
WWF email
Online ads
Social media
Friend/colleague
Other
I confirm that the appropriate permits and/or licences have been obtained, or will be obtained in time, for the proposed work to be completed. *
I have read and understand the Go Wild Community Grant guidelines. *
Send me communications from WWF-Canada. (We will use this information to provide you with the latest news, updates on conservation work, and periodic opportunities to support the mission. Review our Privacy Policy.)

5. BUDGET