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paper application form for Capacity Building activities

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Step 7 - Other Expected Sources of Funding <strong>for</strong> this Project (e.g. Federal, Provincial, Conservation Organization)<br />

Source of Funds<br />

Amount of Funds<br />

Step 8 - Cost In<strong><strong>for</strong>m</strong>ation by Fiscal Year (Costs must be in the quarter in which they were incurred but not necessarily paid.<br />

Note that the total in this table must be equal to the cost in<strong><strong>for</strong>m</strong>ation provided in Step 6)<br />

Fiscal Year<br />

2013-2014<br />

2014-2015<br />

2015-2016<br />

2016-2017<br />

Step 9 - Work Plan (List each activity that is necessary to successfully complete the project in chronological order)<br />

Key Project Activities<br />

(Apr-June)<br />

Q1<br />

(Jul-Sep)<br />

Q2<br />

(Oct-Dec)<br />

Q3<br />

(Jan-Mar)<br />

Q4<br />

Start Date<br />

(YYYYMMDD)<br />

Annual Total<br />

(Attach additional<br />

sheets if necessary)<br />

End Date<br />

(YYYYMMDD)<br />

Step 10 - Resources and Skills You Will Use to Complete this Project<br />

(Complete only if you selected 2. Assessment/Audit or 3. Planning in Step 3)<br />

Step 11 - Declaration and Signature<br />

I certify that:<br />

I consent to:<br />

• I have read, understand and agree to abide by all Growing Forward 2 Guidelines, including all • Provide accurate, timely and full in<strong><strong>for</strong>m</strong>ation, including supporting<br />

eligibility requirements, entitlements and obligations.<br />

documentation, to the Program Administrator and notify the Program<br />

• All in<strong><strong>for</strong>m</strong>ation submitted in this <strong>application</strong> is true and complete.<br />

Administrator immediately in the event that there are any changes to<br />

in<strong><strong>for</strong>m</strong>ation I have provided.<br />

• I have disclosed all proposed sources of funding, including but not limited to sources and amounts<br />

• Provide the Program Administrator, Canada and Ontario, and their authorized<br />

from federal, provincial and municipal governments and that such funds do not or will not exceed<br />

representatives, with any in<strong><strong>for</strong>m</strong>ation or access to a person, place or thing<br />

100%.<br />

within five (5) business days of any request, field verification or audit.<br />

• I do not currently owe any money to Ontario or, if I do, I have attached a description to this<br />

• On-site field verification visits and/or audits by the Program Administrator upon<br />

<strong>application</strong> of what I owe.<br />

notice and during normal business hours to verify eligibility <strong>for</strong> this initiative<br />

• If I am a current or <strong><strong>for</strong>m</strong>er federal public office holder or federal public servant, I am in compliance and to evaluate compliance with the requirements of Growing Forward 2.<br />

with the Conflict of Interest Act, the Conflict of Interest Code <strong>for</strong> Members of the House of • Reviews by the Program Administrator of in<strong><strong>for</strong>m</strong>ation related to other<br />

Commons, the Values and Ethics Code <strong>for</strong> the Public Sector and the Policy on Conflict of Interest programs and initiatives delivered by or <strong>for</strong> Ontario in which I am enrolled or<br />

and Post-employment, as applicable.<br />

have applied.<br />

• 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<br />

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.<br />

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<br />

applicant.<br />

Print Name Signature Date (YYYYMMDD)<br />

Prior to submitting this <strong>application</strong> <strong><strong>for</strong>m</strong>, applicants must complete and submit a Growing<br />

Forward 2 Enrolment, either online at www.ontarioprograms.net or in hard copy <strong><strong>for</strong>m</strong>at,<br />

<strong>for</strong> the business or organization listed adjacent. For further in<strong><strong>for</strong>m</strong>ation, please refer to<br />

www.ontario.ca/growing<strong>for</strong>ward2 or call 1-877-424-1300.<br />

Submit to:<br />

Growing Forward 2 <strong>Capacity</strong> <strong>Building</strong><br />

c/o Rural Programs Branch<br />

Ontario Ministry of Agriculture and Food<br />

1 Stone Rd West, 4th Floor, Guelph ON N1G 4Y2<br />

Fax: 519-826-4336

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