Project OverviewIndicate the Community Futures Region(s) where your project will take place*Provide the physical address or geographic location(s) where the project will primarily take place*Project Applicant Organization(s) ProfileWhat is the legal name of the Applicant or Applicant CFs?CF Legal Name*Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon PR Postal Code CF Legal NameAddress Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon PR Postal Code CF Legal NameAddress Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon PR Postal Code CF Legal NameAddress Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon PR Postal Code CF Legal NameAddress Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon PR Postal Code What is the mailing address of the host/lead Applicant CF organization?Sponsor Applicant CF Organization*Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon PR Postal Code Project contact informationWho is the primary contact for the project?Name* First Last Title*Phone*Email* Who is the signatory for the sponsor organization?Name* First Last Title*Phone*Email* Do you have any non-CF project partners associated with your project?* Yes No If yes, please list in-kind and/or monetary partners you are working with on this project, including contact names and related details.Name of partnerContact nameContact positionName of partnerContact nameContact positionName of partnerContact nameContact positionName of partnerContact nameContact positionProject detailsProject title*Provide a description of the project, including specifics around what the project intends to accomplish and what work and actions will be completed. Please also describe the community/region need and how the project addresses: business retention; business succession; local solutions to local community challenges related to COVID-19Estimated project start date* Date Format: MM slash DD slash YYYY Estimated project end date* Date Format: MM slash DD slash YYYY Full project duration (months)*Please enter a number from 1 to 48.Is the project ready to commence immediately upon receipt of funding?* Yes No Indicate the key milestones and associated deliverables that support the intended project actions and accomplishments as well as an approximate timeline for each component of the project leading to completion*Will project activities be ongoing after the estimated end date?* Yes No If yes, please describe howBudget(Minimum project funding request per eligible CF is $25,000 / maximum of $300,000) Please download the attached Excel spreadsheet and complete the detailed budget BEFORE submitting your completed application. Upload the completed spreadsheet below. If you need time to complete the spreadsheet, go to the very bottom of the application and click on the "Save and Continue later" link. DOWNLOAD SPREADSHEET FILEUpload completed spreadsheet file here*Accepted file types: xlsx, xls. Funding through the ROF Project*What is the total project cost?*What is total financial contribution from applicant and/or partners?*Are other organizations providing funds or lending money regarding this project?* Yes No If yes, please list all sources of funds to be used to complete the project. Please specify cash and in-kind.Funding sourceAmountStatus of fundingConfirmedUnconfirmedFunding sourceAmountStatus of fundingConfirmedUnconfirmedFunding sourceAmountStatus of fundingConfirmedUnconfirmedFunding sourceAmountStatus of fundingConfirmedUnconfirmedFunding sourceAmountStatus of fundingConfirmedUnconfirmedTOTAL (should match total uses of funds below)Please indicate how the funds will be used.Use of funds (expense)AmountUse of funds (expense)AmountUse of funds (expense)AmountUse of funds (expense)AmountUse of funds (expense)AmountTOTAL (should match funding sources above)Project application documentsDo you have any other documents that should be attached to support your application?* Yes No (ie: support letters, Partnership letters etc.)File Drop files here or Accepted file types: doc, docx, pdf, xls, xlsx, zip. Please name the files in a meaningful, descriptive way so we can match the file to its purpose. File types allowed are .doc, .docx, .pdf, .xls, .xlsx, .zipProject submission agreementBy submitting this Application, I/we confirm that I/we have the authority to submit this request and agree to the conditions described below: All information contained herein is correct and complete to the best of my/our knowledge. Awarding of ROF project funding to successful applicants will be conditional upon finalization of the approval agreement that sets out the terms and conditions of the ROF project funding. I/we consent to receiving email notifications regarding this application and any subsequent emails from the Community Futures Pan West Network Inc. or from those working on behalf of the Rural Opportunities Fund Project relating to this application. NOTE: Applications submitted under the program are subject to the Freedom of Information and Protection of Privacy Act. The information being collected is for the purpose of administering the project and will be used for the purpose of evaluating eligibility under the project.* I have read the Agreement above and agree to all the terms thereinOn behalf of the Applicant CF organization(s):Name*Title*Date* Date Format: MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.