Funding Request FormFunding Request FormB’nai Brith Calgary Lodge #816 and Calgary Lodge Menorah Foundation is a grassroots non-profit group committed to supporting local organizations who serve the ill or disadvantaged and/or provide programming for children, youth, and seniors. For over 100 years, the Lodge has been pleased to provide financial assistance to numerous Jewish and non-Jewish community charities that apply for funding. Historically, we have supported the Calgary community during flu epidemics, in war bond drives, human rights activities, summer camps for disabled children, health institutes (Children’s Hospital, Cardiovascular Institute, Prostate Cancer Centre), youth programming, provided support to war veterans, donated cars to disabled children’s charities, and many more. Over this time, we have donated over $4 million in support of over 80 local services (a complete list can be found on https://bnaibrithcalgary.org/supported-organizations/).Section 1: General InformationSubmission DateOrganization NameOrganization Type Charitable Non-profit For-profitCRA (Charitable Number)AGLC ID NumberMailing AddressAddress Line 1Address Line 2CityPostal CodeProvincePhoneEmailWebsite (if applicable)Have you requested funding from B'nai Brith Calgary before? Yes NoIf Yes, Project Name:Year(s)Amount(s) awarded (per year)$Briefly describe the project outcome(s) or success (maximum 100 words):Optional: Attach any photographs, news articles, etc to illustrate project succcess.Choose File Section 2: Organization Contact PersonFirst NameLast NameTitle/PositionPhone/MobileEmailDescribe organization mission, values, goals and/or objectivesSection 3: Executive SummaryProvide an overview of the funding request, including the amount requested, the purpose of the funding, and the anticipated impact. (maximum 250 words):Section 4: Project/Initiative Description Explain the project or initiative for which you are seeking funding. Include the following details:Project/Initiative TitleProject/Initiative Objective(s)Project/Initiative Scope: Describe the scope of the project/ initiative, including its activities, duration, and community reach:Target Audience/Beneficiaries: Identify the individuals and/or groups who will benefit from the project/ initiative:Provide a timeline for project/initiative completion:Section 5: Describe how the B’nai Brith Calgary gift will be acknowledgedIf the funding request is successful, the B’nai Brith Calgary logo and branding background information will be provided to your organization.Section 6: Proposed Financial BudgetA general outline of costs to complete the project/initiative.Internal FundingOrganization Contribution$Other Contribution$Total Internal Income$External FundingGovernment Contribution$Donor Contribution$Event Contribution$Total Income:$Expenses:Project CostsTotal Expenses$Section 7: Supporting MaterialPlease provide the following supporting information/documents (if applicable): List of Board of Directors Annual Report/Audited Financial Statement Any additional information File UploadChoose File Are you prepared, if requested, to appear at a B'nai Brith Calgary meeting to make a presentation and answer questions about your organization and funding request? Yes NoSubmit