ROOTS & SHOOTS A.P.E Fund Application Apply Now! Thank you for your interest our A.P.E Fund and Jane Goodall’s Roots & Shoots – transforming the world into a better place for animals, people and our environment. The online application below should take you no longer than 15-20 minutes to complete. This application will ask for the following areas of information. You may wish to have this information available to you before you begin: School/organizational information Total amount requested (up to $1000 CDN) A list of materials and associated fees for your project General contact information A brief summary and proposed timeline for your 2022-23 project General guideline specific to the measurement of your project impact Please complete all required fields and submit this application before our newly EXTENDED DEADLINE of Wednesday, December 7th at 11:00 PM EST. Thank you! Application "*" indicates required fields Step 1 of 5 20% School/Organization InformationOrganization/School Name:* School/Organization Address:* School/Organization City/Town*This information will be used when highlighting project information on JGIC’s website and in promotional materials. School/Organization Province:*This information will be used when highlighting project information on JGIC’s website and in promotional materials.Full province name (eg. Ontario)AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonSchool/Organization Postal Code:* Country:AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweSchool/Organization Traditional Territory:*Please indicate the host First Nation, Métis, or Inuit community (or communities) for your region. The address information listed above may be used in promotional materials when highlighting project information. Check the box if you only want to disclose your province. I wish to only disclose my province. Is your school, organization, business or other registered entity a qualified donee? (For an understanding of qualified donee visit bit.ly/3PIQuBr)* Yes No Unsure Coordinator Name* First Last Coordinator Contact Email:* Secondary Contact/Administrator Name* First Last Secondary Contact/Administrator Contact Email* Roots & Shoots Project InformationProject name:*Identify what your project will be called. This information will be used when highlighting project information on JGIC’s website and in promotional materials. (Maximum 200 characters). Briefly summarize the project:*Tell us in a couple of sentences what your planned project is and the anticipated outcomes and impact of the project: For example: Our project is a pollinator garden and the anticipated outcome is we will plant 20 native pollinator plants and the impact is that the students will have a greater understanding of the importance of pollinators for supporting biodiversity and the health of native plants. (Maximum 300 characters)Briefly summarize the proposed activities for the project:*Provide a timeline of main activities and expected completion date:*What is the primary issue the project will address?* Biodiversity Loss (Animals) Environmental Inequity (People) Climate Change (Environment) What aspect of the above issue(s) will you be addressing? Share some details into your project plan.*Estimate the number of youth that will be directly involved in the project activities:Please enter a number less than or equal to 1000.What age(s) are the directly involved youth? Primary (JK-Grade 2;ages 4-7) Elementary (Grade 3-6; ages, 8-11) Middle School (Grade 7-8; ages 12-13) High School (Grade 9-12, ages 14-18) Post Secondary or out of school (18-30) Estimate the number of youth that will be indirectly reached by the project (e.g other youth in the school/organization, not directly involved with project activities):Estimate the number of total people that will be indirectly reached by the project (e.g other teachers, parents and community members not directly involved with project activities):OPTIONAL: If you would like, you can upload a photo representing your project.By uploading this photo, you give permission to JGI Canada and Roots & Shoots Canada to utilize the image in online and print promotions in support of the organization’s work and your project if your project is choosen to receive funding. Before a photo can be uploaded, please ensure permission has been received by all parties within the image. For accessibility considerations, please provide the Alternative Text, which describes the content of the image. Accepted file types: jpg, jpeg, png, gif.FileAlternative Text BudgetTotal amount requested (up to $1000)*After indicating the total amount requested, please break down the intended use of funds in the categories below.Please enter a number from 0 to 1000.MaterialsPlease enter a number less than or equal to 1000.Guest Speaker/Workshop FeesPlease enter a number less than or equal to 1000.Field Trip Admission FeesPlease enter a number less than or equal to 1000.TransportationPlease enter a number less than or equal to 1000.Other FeesPlease enter a number less than or equal to 1000.Sorry! The Jane Goodall Institute of Canada can only fund projects based in Canada. If you’re looking to host a Roots & Shoots project in your own country you can find a list of participating countries on The Jane Goodall Institute Global website. DemographicsIs your school/organization Indigenous-led or Indigenous-operated?* Yes No I don’t know What is the socioeconomic status of your school/organization as identified by your school board or municipality?* Low Medium High What is the proportion of black youth at your school/organization?* 0-25% 25-50% 50-75% 75-100% What is the proportion of Indigenous youth at your school/organization?* 0-25% 25-50% 50-75% 75-100% What is the proportion of POC youth at your school/organization?* 0-25% 25-50% 50-75% 75-100% What is the proportion of newcomer/new Canadian youth at your school/organization? (As per Federal Definition: Newcomers to Canada may be: permanent residents (including people who have received "approval-in-principle" from Immigration, Refugees and Citizenship Canada to stay in Canada), refugees (protected persons), temporary residents (including student), for the first year they are a resident of Canada.)* 0-25% 25-50% 50-75% 75-100% Is your school or organization in a rural area (As per Federal Definition: Rural areas include all territory lying outside population centres)* Yes No Thank you for your interest in the A.P.E. Fund, before submitting your application please make sure you agree to the following:* I commit to using this funding to support or lead youth-led sustainability action in my community. I commit to returning any unused funds. I will submit a report by June 14th 2024 that includes results, photos and how the funds were spent. I declare that this project is being developed with the support of a school, organization, business, or other registered entity. Funds cannot be sent to individuals, only recognized organizations. (Once you press the submit button, the page takes a few moments before you are directed to a confirmation page. Ensure you press it only once to avoid multiple submissions.)NameThis field is for validation purposes and should be left unchanged. Δ