paper application form for Capacity Building activities

Step 1 - Contact and Personal Information
Business Name
Processor Application for Capacity Building
Program Year One - 2013
Date Received in Guelph (YYYYMMDD)
Contact Name Phone Number Email
Mailing Address (Line 1)
Mailing Address (Line 2) City/Town Province Postal Code
Do you have a Premises ID? □ Yes Enter it here: ______________________________________________________________________________________
□ No (Obtain a Premises ID at www.ontarioppr.com or, if a Premises ID is not applicable to your operation, please contact 1-877-424-1300 to determine if you
are eligible before proceeding with your application)
Step 2 - Select Project Group - What area of focus is your capacity building activity in?
(Select the description that best applies; the project scope may include activities that span multiple codes)
□ A. Environment and Climate Change □ B. Assurance Systems (Traceability, Food Safety, Animal Welfare) □ C. Market Development
□ D. Animal and Plant Health □ E. Labour Productivity Enhancement □ F. Business and Leadership Development
Step 3 - Project Information (select one)
1. Skills Development and Training
□ A. Workshops/Seminars
□ B. Courses (in-class)
□ C. Courses (on-line)
□ D. Mentoring/Coaching Services
□ E. On-site
□ Z. Other ____________________________
2. Assessment / Audit
□ A. Utility Audit (energy and/or water and
wastewater)
□ B. Feasibility Studies
□ C. Proof of Concept
□ D. Certification
□ E. Food Safety Audit/Assessment
□ F. Traceability Audit/Assessment
□ G. Animal Welfare Audit
□ H. Automation and Technology
□ I. Manufacturing and Competitiveness Audit
□ J. Business Management
□ K. Biosecurity Audit
□ L. Market Readiness Audit (product and/or
market)
□ M. Operations and Process Audit
□ N. Cost of Production Assessment
□ O. Human Resources Assessment
□ P. Strength Weakness, Opportunity and
Threat Analysis
□ Z. Other ____________________________
3. Planning
□ A. Utility Management Planning
(energy and/or water and wastewater)
□ B. Emergency Management
□ C. Market Development Plan
□ D. Enterprise Resource Planning
□ E. Pest Management
□ F. Business and Strategic Plans
□ G. Leadership Development Planning
□ H. Risk Management Plan
□ I. Succession Plan
□ J. Growth and Investment Planning
□ K. Workforce Development Plan
(Recruitment and Orientation, Engagement
Retention, Performance Management,
Development)
□ L. Sales and Product Diversification Plan
□ M. Feasibility Plan
□ N. Sustainability Plan
□ O. Biosecurity Plan
□ P. Distribution and Logistics Planning
□ Q. Traceability Plan
□ R. Animal Welfare Plan
□ S. Productivity Improvement Plan
□ T. Operations and Process Plan
(e.g. quality assurance, preventative
maintenance, sanitation, training, scheduling,
equipment procurement and optimization)
□ Z. Other ____________________________
Step 4 - Description - (Provide details about the capacity building activity and the changes it will bring to your business) (Attach additional sheets if necessary)
Step 5 - Indicate the Expected Outcome of Your Project (check all that apply)
□ Adopt best business and leadership practices □ Retain and expand existing markets □ Use energy, water and other inputs efficiently
□ Better able to adapt to climate change □ Maximize labour productivity □ Respond quickly and effectivly to risk
□ Access new and emerging markets
□ Reduce key risks
□ Market products that meet buyer demand through adoption of assurance systems and/or adding value such as bio-products and food for health
Step 6 - Cost Information (See Program Guide for information on eligible cost items)
Item
Estimated Cost
(attach additional sheets if necessary)
Total
Proposed Start Date (YYYYMMDD)
Proposed End Date (YYYYMMDD)

Step 7 - Other Expected Sources of Funding for this Project (e.g. Federal, Provincial, Conservation Organization)
Source of Funds
Amount of Funds
Step 8 - Cost Information by Fiscal Year (Costs must be in the quarter in which they were incurred but not necessarily paid.
Note that the total in this table must be equal to the cost information provided in Step 6)
Fiscal Year
2013-2014
2014-2015
2015-2016
2016-2017
Step 9 - Work Plan (List each activity that is necessary to successfully complete the project in chronological order)
Key Project Activities
(Apr-June)
Q1
(Jul-Sep)
Q2
(Oct-Dec)
Q3
(Jan-Mar)
Q4
Start Date
(YYYYMMDD)
Annual Total
(Attach additional
sheets if necessary)
End Date
(YYYYMMDD)
Step 10 - Resources and Skills You Will Use to Complete this Project
(Complete only if you selected 2. Assessment/Audit or 3. Planning in Step 3)
Step 11 - Declaration and Signature
I certify that:
I consent to:
• I have read, understand and agree to abide by all Growing Forward 2 Guidelines, including all • Provide accurate, timely and full information, including supporting
eligibility requirements, entitlements and obligations.
documentation, to the Program Administrator and notify the Program
• All information submitted in this application is true and complete.
Administrator immediately in the event that there are any changes to
information I have provided.
• I have disclosed all proposed sources of funding, including but not limited to sources and amounts
• Provide the Program Administrator, Canada and Ontario, and their authorized
from federal, provincial and municipal governments and that such funds do not or will not exceed
representatives, with any information or access to a person, place or thing
100%.
within five (5) business days of any request, field verification or audit.
• I do not currently owe any money to Ontario or, if I do, I have attached a description to this
• On-site field verification visits and/or audits by the Program Administrator upon
application of what I owe.
notice and during normal business hours to verify eligibility for this initiative
• If I am a current or former federal public office holder or federal public servant, I am in compliance and to evaluate compliance with the requirements of Growing Forward 2.
with the Conflict of Interest Act, the Conflict of Interest Code for Members of the House of • Reviews by the Program Administrator of information related to other
Commons, the Values and Ethics Code for the Public Sector and the Policy on Conflict of Interest programs and initiatives delivered by or for Ontario in which I am enrolled or
and Post-employment, as applicable.
have applied.
• I am not a member of the House of Commons or of the Senate or if I am, I certify that I am permitted • Ontario or Canada publishing the amount of funding received under Growing
under the Parliament of Canada Act to receive funding from Canada under Growing Forward 2. Forward 2, the nature of any project or activity funded, along with my name.
By signing below, I agree to be bound by the terms and conditions of Growing Forward 2 as set out in the Guidelines. I/we are authorized to sign on behalf of the
applicant.
Print Name Signature Date (YYYYMMDD)
Prior to submitting this application form, applicants must complete and submit a Growing
Forward 2 Enrolment, either online at www.ontarioprograms.net or in hard copy format,
for the business or organization listed adjacent. For further information, please refer to
www.ontario.ca/growingforward2 or call 1-877-424-1300.
Submit to:
Growing Forward 2 Capacity Building
c/o Rural Programs Branch
Ontario Ministry of Agriculture and Food
1 Stone Rd West, 4th Floor, Guelph ON N1G 4Y2
Fax: 519-826-4336