Seed Grant Application

All Together – Spreading the Seeds of Community Innovation Seed Grant Program

Complete applications must be submitted online no later than December 30, 2022.

Applicants will be notified of the results by email by February 28, 2023.

This online application form allows you to:

– View the full application before starting to be aware of all requirements
– Complete the application in stages, returning to it later (click ‘Save and Continue Later’ button at the bottom of the form)
– Email yourself a copy of the completed application for your records.

Once you click SUBMIT you will not be able to make any changes to your application.

START YOUR APPLICATION

Title of Project*
Project Start Date*
(no earlier than March 1, 2023)
MM slash DD slash YYYY
Project End Date*
(no later than December 31, 2023)
MM slash DD slash YYYY
Organization Information*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Authorized Contact Person*
First Last
Title*
Phone*
Email*
Project Lead
First Name Last Name
Title
Phone
Email
Project Information
Funding Priorities*
Check ONE funding priority that this project most closely aligns with
- Advance Care Planning education – using BCCPC curriculum and toolkit
- Compassionate Communities – grief/bereavement support
- Compassionate Communities – addressing social isolation
- Compassionate Communities – other forms of psychosocial support
- Compassionate Communities – spiritual support
- Compassionate Communities – practical support
The project will take place in the:*
(select all that apply)
- Interior Health Region
- Northern Health Region
- Fraser Health Region
- Island Health Region
- Vancouver Coastal/Providence Health Region
The community in which the project will take place is:*
(select all that apply)
- A community in an urban or suburban area
- A community in a rural area (>10,000 and <40,000 residents)
- Indigenous community
- A community in other remote area (<10,000 residents)
Target populations for the project:*
(select all that apply)
- Isolated older adults
- Frail older adults
- Individuals with serious illness
- Families and caregivers of individuals with serious illness or near end of life
Is this project*
(select one)
- Continuing a proven program or service
- Adapting an existing program or service in response to the challenges presented by COVID-19
- Implementing a new approach to meeting community needs
The Problem*
Please describe the problem or unmet need that will be addressed by your project
Project Goal*
(long-term expectation of what should happen as a result of the project--the desired result. The Goal statement must specify the problem and the target population for the project)
Project Objectives*
(concrete SMART statements describing what the project is trying to achieve in order to meet the goal. SMART = Specific, Measurable, Attainable/Achievable, Realistic and Time-bound))
Project Activities*
Provide a clear description of the project activities:
1. - Identify how, when, and where the target population is engaged
2. - Identify by whom the project activities will be delivered – i.e. staff, volunteers, consultants, health professionals
3. - If this is a new project, explain how it meets needs highlighted by COVID-19
4. - For an adapted project, explain how it has been adapted
Key Partners
List key partners involved in the implementation of the project, if any
To add more than one partner, click on the plus (+) symbol on the right
Partner Name Role in Project
Measuring Project Success*
List the measures that you will use to evaluate the success of the project and the sources of data required to report on these measures.

If you need assistance determining how to measure project success, please contact BCCPC for support prior to submitting your application seedgrant@bc-cpc.ca

Examples of evaluation measures for projects that will deliver Advance Care Planning sessions for the public:

Measure ---> Data Source
Number of ACP sessions offered ---> Schedule of ACP sessions
Number of participants at each session ---> Attendance sheet
% participants reporting increased knowledge of ACP ---> Post-session questionnaire
% participants reporting satisfaction with the session ---> Post-session questionnaire

Measure Data source
Budget

The total amount requested from BCCPC cannot exceed $5,000. Funds must only be used for the approved project. Grant funds MUST be used within ten months. Any unused funds may be recoverable by BCCPC.
Expenditures
Expenditures*
Be sure to include staff time (planning, service delivery and admin support) allocated to this project.
Item Amount
Total Expenditures:*
Funding Sources
Request to BCCPC*
Other Funding Sources:
If the total expenditures exceed the amount requested from BCCPC, identify other sources of funding.
Funding Source Amount
Total Funding:*
If you would like a copy of your application sent to you, please enter your email below.

Save and Continue Later

Partner Name	Role in Project

Measure	Data source

Item	Amount

Funding Source	Amount

All Together – Spreading the Seeds of Community Innovation Seed Grant Program

START YOUR APPLICATION

Project Information

Budget

Expenditures

Funding Sources

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