Community Grant Application – Samuel W. Stedman Foundation

Charitable Organizations from Brantford/Brant County or those serving these areas must satisfy the requirements of the following checklist prior to submitting their applications

You will need to provide:

Contact Information
A brief overview of the organization and its purpose
An outline of the specific reason for the request and how the grant monies will be used
The dollar amount being requested
The organization’s registered charitable number
A financial statement from the previous year along with any other supporting materials

Multi-year requests will not be considered, although organizations are permitted to apply anew each year to meet longer project timelines.

Please ensure you have all required information before filling out this form as you have a single opportunity to submit it, and you must ensure you do it correctly. Please prepare ahead of time with careful review of the instructions. Double-check before submission. ALL Required fields must be filled in. Incomplete or late applications will be rejected.

1. Organization(Required)

2. Category(Required)

Select the category that best describes your charity

3. Organization Address(Required)

Street Address Address Line 2 City Province Postal Code

4. Your Name(Required)

First Last

5. Your position within the Organization(Required)

ex. Treasurer, President, etc.

6. Your Phone Number(Required)

7. Your Email(Required)

Enter Email Confirm Email

8. Organization Overview and Purpose(Required)

9. Has your organization received funds from the Stedman Foundation in the past?(Required)

Yes

9a. If YES, what was the last year that funding was received?(Required)

9b. How much funding did your organization receive?(Required)

9c. Briefly describe, in point form, how those funds were used(Required)

10. Provide an outline of the specific reason for this grant request and how the grant monies will be used(Required)

11. The dollar amount being requested(Required)

12. The organization's registered charitable number(Required)

13. A financial statement from the previous year along with any other supporting materials(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 8 MB, Max. files: 3.

15. Date(Required)