Maspik! Application

Legal Name of Organization

Operating Name (if different)

Mailing Address

Organization's Website

Primary Contact Name

Primary Contact Email

Primary Contact Phone Number

Number of Employees

Explain how your organization/collaboration has the capacity to execute the project successfully.

Canadian Charitable Registration Number (if none, enter "N/A")

Project Title

Project Summary

What is the overall intent of your project? Who will your project reach? What does your project aim to achieve? Outline the issues and/or gaps that your project will address. Provide a high-level summary to demonstrate how you will do this.

Impact

Identify measurable outcomes (eg: number of participants expected or impacted; anticipated earned media coverage; reach/circulation, number of website visits; number of social media hits; number of new partners; number of individuals accessing research data).

List of Collaborating Organizations (if applicable)

Date(s) of your Project or Project Length

Has your organization applied for funds from Maspik! in the past? If so, when?

Total Cost of Project:

CAD

Amount requested under the Maspik! Program

CAD

If you need assistance, please contact info@maspik.ca