Community Giving Program: Application Form

Organization & CRA Information: What is your organization’s full legal name and CRA charitable registration number?

Contact Information: Who is the best contact for this application? Please provide their name, position, email and phone number.

Who You Serve: Who does your organization serve, and approximately how many people do you serve?

Training Needs: How many people are you looking to have trained, and who would they be? Example: 8 youth program volunteers, 5 coaches, 10 staff members.

Online Learning Access: Do all participants have access to a computer/tablet and reliable internet to complete the online portion of the course before the in-person training?

Preferred Training Dates: Please provide your first, second and third choice of dates for the training, in order of priority. Example: 1st choice – October 10; 2nd choice – October 17; 3rd choice – October 24.

Training Location & Space: Do you have a suitable facility where the training can be held, and is there enough space for all participants to comfortably complete First Aid/CPR training? Please provide the location and briefly describe the space available.

Can your organization commit to filling all 18 training spaces and ensuring participants complete the required online learning before the in-person training date?

Yes

Community Impact: How would having these individuals trained benefit your organization and the people you serve?

How did you hear about the Nancy Johnson Fitness Community Giving Program, and what prompted you to apply?