A.P.E. Fund Application

Step 1 of 5

School/Organization Information

Organization/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.

School/Organization Postal Code:*

Country:

School/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

Unsure

Coordinator Name*

First Last

Coordinator Contact Email:*

Secondary Contact/Administrator Name*

First Last

Secondary Contact/Administrator Contact Email*

Roots & Shoots Project Information

Project 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

A.P.E Fund Application

Application

School/Organization Information

Roots & Shoots Project Information

Budget

Demographics