Children s Aid Society of Pictou County Endowment Fund. Funding Application and Criteria March 2018

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Children s Aid Sciety f Pictu Cunty Endwment Fund Funding Applicatin and Criteria March 2018 Revised: February 2018

GENERAL INFORMATION The purpse f the Children s Aid Sciety f Pictu Cunty Endwment (CAS Endwment Fund) f the Aberdeen Health Fundatin (AHF) is t generate annual funding pprtunities in Pictu Cunty fr prjects that: Enhance the ptential fr healthy utcmes fr children, yuth and families at risk in ur cmmunity; help t alleviate risk and prevent crisis in the hme, schl and cmmunity; prvide educatin fr citizens and prgram leaders in health, wellness and crisis preventin and interventin APPROXIMATELY $60,000 WILL BE AVAILABLE FOR DISTRIBUTION. THERE IS NO MAXIMUM ALLOWABLE FUNDING REQUEST, BUT IT IS ANTICIPATED THAT THIS AMOUNT WILL BE SHARED AMONG SEVERAL PROJECTS. PRIORITY FOR FUNDING WILL BE BASED ON COMMUNITY PROJECTS THAT ADDRESS ONE OR MORE OF THE ABOVE AREAS BY MAKING SIGNIFICANT CONTRIBUTIONS TO CHILDREN, YOUTH AND FAMILIES AT RISK IN OUR COMMUNITY IN ACCORDANCE WITH THE SOCIAL DETERMINANTS OF HEALTH. (APPENDIX A) CAS ENDOWMENT ELIGIBILITY CRITERIA AND FUNDING GUIDELINE The CAS Endwment Fund Cmmittee seeks applicatins that will supprt the delivery f health and wellness interventins that will enhance the ptential fr healthy utcmes fr children, yuth and families at risk in Pictu Cunty; Prpsals shall demnstrate financial need; Prpsals shall demnstrate fulfillment f a need within the bundaries f Pictu Cunty; Prpsals fr prjects where funding cmes frm single r multiple surces will be welcmed; Funding is intended fr prjects that are shrt term in nature, and will generally be cmpleted in less than ne year; Prpsals fr funding shall be submitted n a per-prject basis. In exceptinal circumstances, with prven measured and nging success, prjects may be cnsidered fr renewal but will be required t re-enter the applicatin prcess; Enhancements t current prjects and prgrams will be given cnsideratin; Prpnents shall prvide evidence f a satisfactry financial recrds system; Applicants shall prvide infrmatin regarding ther applicatins fr funding f the same prject, disclse ther cncurrent applicatins fr funds pertaining t the same prject, and agree that funding agencies, including the Aberdeen Health Fundatin, may share infrmatin regarding the prject with ther funding agencies; ONLY QUALIFIED DONEES (SEE APPENDIX B) HOLDING A CANADA REVENUE AGENCY CHARITABLE NUMBER SHALL BE CONSIDERED. ORGANIZATIONS THAT DO NOT MEET THIS CRITERIA CAN DO SO BY PARTNERING WITH A COMMUNITY AGENCY THAT DOES. Revised: February 2018 Aberdeen Health Fundatin 2

THE FOLLOWING WILL NOT BE CONSIDERED Retractive applicatins; Funding fr current prgramming csts at current capacity levels; Funding f an rganizatin s nrmal peratinal expenses, including salaries f existing staff at current capacity levels; Prjects r activities which can be funded under existing gvernment prgrams; Prjects r activities which DO NOT: help t alleviate risk and prevent crisis in the hme, schl and cmmunity; enhance the ptential fr healthy utcmes fr children, yuth and families at risk in ur cmmunity; prvide educatin fr citizens and prgram leaders in health, wellness and crisis preventin and interventin APPLICATION PROCESS Applicatins will be welcmed by the CAS Endwment Fund Cmmittee f the Aberdeen Health Fundatin thrugh the fllwing prcesses: Applicatins are available at the Aberdeen Health Fundatin ffice, Aberdeen Hspital, 835 East River Rad, New Glasgw r www.aberdeenhealthfundatin.cm/cas-endwment. Cmpleted applicatins are t be hand delivered, mailed, r emailed in pdf frmat t the Fundatin Office; The Cmmittee will review all applicatins and adjudicate accrding t the eligibility guidelines and funding criteria. Applicants wh meet eligibility guidelines may be invited t discuss their prject with the Cmmittee befre final recmmendatins being made t the AHF Bard fr apprval. The Aberdeen Health Fundatin ffice will ntify the applicants in writing n the utcme f their applicatin. Successful applicants will receive 75% f the apprved funds at the start f the prject. Prir t receiving the final 25% f the ttal funded amunt, applicants must supply the Cmmittee with: an interim financial reprt utlining the results t date, including expenses incurred, budget variances, and all funding surces fr the prject r prgram; an interim prgress reprt utlining the prgress f the funded prgram as per the articles f the riginal applicatin; At the terminatin f the prject, applicants must supply the Cmmittee with a final reprt cnsisting f: a financial reprt detailing the utilizatin f all funding frm AHF; a summary f the results and verall evaluatin f the prject (i.e. were bjectives met/exceeded; were there unanticipated utcmes etc.). TIMELINES Applicatins will be received nce annually by the CAS Endwment Cmmittee f the Aberdeen Health Fundatin. Applicatins fr 2018 funding must be received at the Aberdeen Health Fundatin ffice n r befre April 13 th, 2018. Revised: February 2018 Aberdeen Health Fundatin 3

RESPONSIBILITIES OF APPLICANTS T cmplete the applicatin frm, answer the questins in full, and attach the fllwing dcuments: Letters frm any cmmunity partners invlved with the prject cnfirming their participatin; Letters f supprt frm apprpriate spnsrs and/r relevant cmmunity agencies; The mst recent Financial Statements fr the rganizatin; A detailed budget fr the prject. T ensure the grup/rganizatin receiving the funding adheres t all Prvincial and Federal regulatins; T ensure the rganizatin has n file current Child Abuse Registry Frms and Criminal Recrd checks fr all individuals n the prject that will be in direct cntact with children and yuth; Upn ntificatin f funding apprval: Sign a funding agreement with the Aberdeen Health Fundatin and ensure the funding is spent as prpsed in the prject details f the apprved applicatin; Ensure reprts, receipts and budget updates are submitted t the CAS Endwment Cmmittee as directed; Give permissin t the Aberdeen Health Fundatin t use infrmatin and any images/phts related t prjects funded fr AHF electrnic use, print publicatins, and/r use by news media subject t permissin being granted by individuals in pictures. NOTE: Failure t submit reprts in a timely manner may preclude funding fr future prjects. Fr further infrmatin abut the CAS Endwment Fund f the Aberdeen Health Fundatin, cntact: Kim Martin Administrative Crdinatr Aberdeen Health Fundatin Phne: (902) 752-7600 ext. 4600 Fax: (902) 755-2356 Email: kim.martin@nshealth.ca Revised: February 2018 Aberdeen Health Fundatin 4

APPLICATION FORM CAS ENDOWMENT FUND All crrespndence must be legible, rganized, and include all supprting infrmatin and dcumentatin. Prject Name: Grup/Organizatin Name: Cntact Persn: Title: Mailing Address including Pstal Cde: Telephne Numbers - Wrk: (please indicate preferred number fr us t cntact) Cell/Other: Email Address: Website Address: Signing Officers fr the rganizatin: Name f Organizatin acting as Qualified Dnee (as Registered with Canada Revenue Agency): Canada Revenue Agency charitable number: Revised: February 2018 Aberdeen Health Fundatin 5

SIGNATURE OF APPLICANTS Applicatin t be signed by Chair r designate and ne ther member f the grup r rganizatin, alng with the same fr any partner rganizatin, if applicable. Signature f Chair r Designate Signature f Grup Member Please Print r Type Name Please Print r Type Name Name f Organizatin Name f Organizatin Dated: Dated: Signature f Chair r Designate Signature f Grup Member Please Print r Type Name Please Print r Type Name Name f Organizatin Name f Organizatin Dated: Dated: I have verified that the rganizatin has a current cpy f the Child Abuse Registry Frms and Criminal Recrd checks fr all individuals n the prject that will be in direct cntact with children and yuth. Initials f Applicants Revised: February 2018 Aberdeen Health Fundatin 6

PROJECT SPECIFIC INFORMATION Please prvide the infrmatin requested belw, with as much detail as pssible t help the CAS Endwment Cmmittee evaluate and cnsider yur prject. T ensure the applicatin can be reviewed by the Cmmittee, cmplete the questins in full, and attach the fllwing dcuments: Letter(s) frm cmmunity partners invlved with the prject cnfirming their participatin; Letter(s) f supprt frm relevant spnsrs, cmmunity agencies r rganizatins; Mst recent Financial Statements fr the rganizatin; A Detailed Budget fr the prject, including related expenses that will be funded frm ther surces and the value f any in kind supprt (i.e. value f dnated supplies). A nte abut funding salaries: This funding is intended t supprt new initiatives t address ppulatin health and nt designed t fund current peratins at current capacity levels. Therefre, csts related t existing staff d nt qualify fr funding and shuld nt be included in yur budget, even if their time will be redirected t this prject fr all r part f its duratin. Yu may share this infrmatin, as well as details regarding anticipated vlunteer time if applicable, as a nte fllwing the budget if yu feel it is imprtant t d s. 1. What is the prject and what are the bjectives f the prject? Explain hw this will enhance the ptential fr healthy utcmes fr children, yuth, and families at risk. Describe yur prject with as much detail as pssible, including which Determinants f Health will be addressed. (See Appendix A) What cmmunity partners, rganizatins, r agencies will participate in the develpment and implementatin f the prject? Wh is the target grup fr yur prject? Describe yur target in terms f numbers, gegraphy, and ther demgraphic characteristics where pssible. 2. Where will yur prject take place? (At what specific lcatin(s)?) 3. Hw lng is this prject t last? 4. Will yu receive funding frm any gvernment department fr this prject? Will yu apply fr funding frm ther surces fr this prject? At the date f this applicatin, have yu applied fr, been apprved fr, r received funding frm ther surces fr this prject? If yes t any f the abve, please prvide details, including applicatin date, amunt requested, name f funding agency, and status f applicatin. Hw d yu plan t evaluate the prject? (I.e. What tls will yu use t measure yur success? Yur evaluatin shuld specifically measure the achievement f each f the bjectives and desired impacts yu have utlined abve.) Hw will the prject activities cntinue beynd the CAS Endwment Funding? Des this prject have ptential t becme self-sustaining? Will it cntinue after the cmpletin f the funding? Due t funding availability the CAS Endwment Fund may nt be able t prvide full funding as requested. D yu have an alternative plan shuld yu nt receive full funding? If s, please prvide details. 5. Hw has yur rganizatin demnstrated the ability t successfully deliver prjects in the past? Revised: February 2018 Aberdeen Health Fundatin 7

Aberdeen Health Fundatin - CAS Endwment Funding Applicatin APPENDIX A SOCIAL DETERMINANTS OF HEALTH The scial determinants f health are the interrelated scial, plitical, and ecnmic factrs that create the cnditins in which peple live, learn, wrk, play and age. The intersectin f scial determinants f health means these determinants shift and change in different settings and ver time, impacting the health f individuals, grups and cmmunities in different ways. Surce: Natinal Cllabrating Centre fr Determinants f Health, Glssary f Essential Health Equity Terms, 2015. Marginalized ppulatins (e.g. lw incme, wmen, peple living with disabilities, visible minrities, etc.) have fewer resurces t supprt their health and require additinal supprts t help them thrive and be healthy. The fllwing are critical determinants f health fr individuals, families, and cmmunities: Incme and Scial Status: There is a gradient in health acrss the incme spectrum. Lwer incme ppulatins ften experience ecnmic and scial exclusin. Scial Supprt Netwrks: Peple wh have the supprt f family, friends and cmmunities feel mre cnnected t thers and have better health. Educatin and Literacy: Lw educatin levels are linked t pr health, mre stress, and lwer self-cnfidence. Emplyment/Wrking Cnditins: Emplyment prvides incme, a sense f persnal identity, and the means t acquire the resurces needed t be healthy. Unemplyment r underemplyment can cntribute t stress and exclusin. Scial Envirnments: The values and nrms f a sciety influence health and wellbeing. A supprtive sciety helps individuals reduce r avid many ptential risks t gd health. Physical Envirnments: Clean air and water, adequate husing, safe neighburhds and adequate transprtatin are needed fr gd health. Persnal Health Practices and Cping Skills: Adpting healthy practices and having skills t cpe with life s circumstances help peple t stay healthy and safe. Healthy Child Develpment: Early childhd experiences influence cping skills, resistance t health prblems and verall health and wellbeing fr the rest f ne s life. Bilgy and Genetic Endwment: Sme peple have health advantages r disadvantages due t their bilgical make-up, but even peple with disadvantages live full and healthy lives when their envirnments supprt their grwth and develpment. Revised: March 2018 Aberdeen Health Fundatin 8

Aberdeen Health Fundatin - CAS Endwment Funding Applicatin Health Services: Everyne needs access t services that prevent and treat disease as well as maintain and prmte gd health. Gender: Sciety places different expectatins n peple f varius genders, including gay, lesbian, bi-sexual and transgendered peple. Gender intersects with ther health determinants t create circumstances that either supprt r challenge health and wellness. Culture: Custms, traditins, and the beliefs f the family and cmmunities all affect health. Abriginal Ancestry: First Natins and Abriginal peple have higher rates f fd insecurity, lwer levels f educatin and emplyment, and higher rates f illness and injury, all tied t their histry f clnizatin and discriminatin. Race: Racialized ppulatins (immigrants, visible minrities) experience higher rates f unemplyment and underemplyment, and bth ecnmic and scial discriminatin. New immigrants may experience deteriratin f their health ver time relative t ther Canadians. Surce: J. Mikknen & D. Raphael. (2010) The Canadian Facts. Revised: March 2018 Aberdeen Health Fundatin 9

Aberdeen Health Fundatin - CAS Endwment Funding Applicatin APPENDIX B SUMMARY Under the Incme Tax Act, qualified dnees are rganizatins that can issue fficial dnatin receipts fr gifts they receive frm individuals and crpratins. They may als receive gifts frm registered charities. QUALIFIED DONEES include but are nt limited t the fllwing: A registered charity; A registered Canadian amateur athletic assciatin; A registered husing crpratin resident in Canada cnstituted exclusively t prvide lw-cst husing fr the aged; A registered Canadian municipality; A registered municipal r public bdy perfrming a functin f gvernment in Canada. Revised: March 2018 Aberdeen Health Fundatin 10