Funding Application Form
Indigenous Partnership Fund

* = Required fields

1.0 Applicant Information

1.1 Primary contact for this application

(if yes, skip address fields below)

1.2 Additional person(s) with signing authority (2 maximum)

Person #1

(if yes, skip address fields below)

Person #2

(if yes, skip address fields below)

1.3 Type of organization

(maximum 2000 characters)

1.4 Incorporation

If yes, please answer the questions below:

1.5 Band registration

1.6 Charitable organization

If yes, provide the information below:

1.7 For Québec organizations only

If you answer "yes" to any one of the three questions in this section, your organization is required to provide a copy of the Ministerial Order allowing your organization to negotiate and enter into an agreement with Justice Canada either with your completed funding application or before a formal agreement will be offered by Justice Canada. For more information about this requirement, please see: "An Act respecting the Ministère du Conseil exécutif" (chapter M-30) on the Government of Québec’s website.

2.0 Mandate and key activities

(maximum 2000 characters)

2.1 Anticipated timeframe (April 1, 2024 – March 31, 2025)

2.2 Project title

2.3 Project description

(maximum 2000 words)

2.4 Needs

(maximum 800 words)

2.5 Expertise and experience

(maximum 500 words)

2.6 Target population

(maximum 2000 characters)

2.7 Collaboration

(maximum 2000 characters)

2.8 Diversity and inclusion

(maximum 300 words)

2.9 Activities

List the activities that you will undertake to complete this project. Include the timeframe, outputs and outcomes for each activity. (Note: this table is optional. Feel free to use your own workplan template if you wish).

Activity #1

(maximum 2000 characters)
(maximum 2000 characters)

Activity #2

(maximum 2000 characters)
(maximum 2000 characters)

Activity #3

(maximum 2000 characters)
(maximum 2000 characters)

Activity #4

(maximum 2000 characters)
(maximum 2000 characters)

Activity #5

(maximum 2000 characters)
(maximum 2000 characters)

To submit additional activities, send details by email to pb-dgp@justice.gc.ca. Include the legal name of your organization and primary contact information for your application.

2.10 Metrics

(maximum 2000 characters)

2.11 Budget

Current project start and end dates (April 1, 2024 – March 31, 2025)

Justice Canada Cash Contributions

Contribution #1 - Salary (and benefits)

(maximum 2000 characters)

Contribution #2 - Travel (and benefits)

(maximum 2000 characters)

Contribution #3 - Rental/Leasing (for meetings and conference facilities)

(maximum 2000 characters)

Contribution #4 - Professional fees

(maximum 2000 characters)

Contribution #5 - Consultants (including legal counsel)

(maximum 2000 characters)

Contribution #6 - Honoraria

(maximum 2000 characters)

Contribution #7 - Office Equipment, Furniture, Supplies and materials

(maximum 2000 characters)

Contribution #8 - Other (please specify)

(maximum 2000 characters)

Contribution #9 - Administrative (no more than 15% of total budget)

(maximum 2000 characters)

Total

Other Cash Contributions (please list other sources of revenue for this project only)

Contribution #1 - Salary (and benefits)

(maximum 2000 characters)

Contribution #2 - Travel (and benefits)

(maximum 2000 characters)

Contribution #3 - Professional fees

(maximum 2000 characters)

Contribution #4 - Consultants (including legal counsel)

(maximum 2000 characters)

Contribution #5 - Office Equipment, Furniture, Supplies and materials

(maximum 2000 characters)

Contribution #6 - Other (please specify)

(maximum 2000 characters)

Contribution #7 - Administrative (no more than 15% of total budget)

(maximum 2000 characters)

Total

In-Kind Contributions for this project only (In-kind is the amount of funding that is given in goods and/or services rather than money)

Contribution #1 - Salary (and benefits)

(maximum 2000 characters)

Contribution #2 - Travel (and benefits)

(maximum 2000 characters)

Contribution #3 - Professional fees

(maximum 2000 characters)

Contribution #4 - Consultants (including legal counsel)

(maximum 2000 characters)

Contribution #5 - Office Equipment, Furniture, Supplies and materials

(maximum 2000 characters)

Contribution #6 - Other (please specify)

(maximum 2000 characters)

Contribution #7 - Administrative (no more than 15% of total budget)

(maximum 2000 characters)

Total

2.12 Federal audit

2.13 GST/HST rebate

2.14 Additional information

(maximum 300 words)

Conditions

In the event that your funding application is successful, you will be required to provide banking information in order to permit electronic payments.

Departmental funding may be used only for the purposes specified in this application. Once the Department has agreed to grant financial assistance, no major change can be made to the project without departmental approval (in each case, the Department shall determine what constitutes a major change). Funds not used for these purposes must be returned to the Department.

The organization bears full responsibility for its debts. The Department will not consider any request for assistance in settling debts. The organization must agree to comply with all provincial, territorial and federal legislation.

The Department's financial contribution must be explicitly acknowledged and must be mentioned in publications funded by the Department. A typical form of acknowledgement is: “We acknowledge the financial support of the Department of Justice Canada”.

With regard to the project or programming for which funding is requested, the organization shall agree to comply with the spirit and intent of the Official Languages Act by implementing the appropriate linguistic measures.

By signing this application, (the applicant) authorizes the Department of Justice Canada to disclose any information received in this application within the Department and the Government of Canada or to outside entities for the following purposes: to reach a decision on this application, to administer and monitor the implementation of the project or programming, or to evaluate the results of the project or programming after project completion. This disclosure of any information received in this application may also be used to reach a decision on any other application of the applicant for funding under any other departmental program.

In the event of an access to information request regarding the present funding application or any relevant information about the organization in the Department's possession, the information provided to the Department will be entirely disclosed, with the exception of personal information, which will be treated in accordance with the Privacy Act.

Any person lobbying on the recipient's behalf must be registered under the federal Lobbyists Registration Act.

Declarations

I declare that:

  • the information in this application is accurate and complete;
  • the application is made on behalf of the organization named, whose name appears in knowledge and consent;
  • if financial assistance is granted, the organization shall undertake to provide financial reports on results pursuant to the requirements of the Department of Justice Canada;
  • if financial assistance is provided, the organization shall agree to an assessment programming pursuant to the requirements of the Department of Justice Canada;
  • no public servant or holder of public office, past or present, which is in breach of the Values and Ethics Code for the Public Sector or the Conflict of Interest Act shall derive a direct benefit from the requested funding;
  • this organization has not paid or agreed to pay, directly or indirectly, and agrees that it shall not pay, directly or indirectly, any contingency fees for the solicitation, negotiation or acquisition of funding for the purposes of this application.