South Saskatchewan Ready - Municipal Coal Transition Program South Saskatchewan Ready Municipal Coal Transition ProgramGrant Application Form ELIGIBILITY Please confirm the following before starting your application.1. Is your project located in one of the following South Sask Ready communities: Bengough, Coronach, Rockglen, Willow Bunch, RM of Happy Valley, RM of Bengough, RM of Hart Butte, RM of Poplar Valley or RM of Willow Bunch? Yes NoFunding is only available for projects located in the South Saskatchewan Ready region.2. Have you reviewed the Municipal Coal Transition Program funding guidelines? Yes NoYou must review the funding guidelines before applying. Click here for South Saskatchewan Ready Municipal Coal Transition Program funding guidelines. 3. Do you understand that, if awarded funding, you will be required to report on the progress of your project? Yes NoIf your application is successful, reporting on the progress of your project (e.g., updates, number of jobs created, etc) is a requirement.4. Is your business home-based? Yes NoYour project is not eligible at this time.Please review the South Saskatchewan Ready funding guidelines. Click here for South Saskatchewan Ready Municipal Coal Transition Program funding guidelines. 5. Does your project fall under one of our priority sectors? if so, which sector? Natural Resources Value-Added Processing Value-Added Agriculture Manufacturing Resource Development Innovative Technology Digital Industries Health/Bio-sciences Tourism No, it does not fall under a priority sector.Save & ResumePreviousNextAPPLICANT INFORMATION Please provide your contact and business information as it appears on your project documentation.6. Business / Organization Name7. Applicants First NameApplicants Last Name8. Applicant Mailing Address Mailing AddressCity/TownProvincePostal Code9. Applicant Physical Address Street Address or Land LocationCity/TownProvincePostal Code10. Applicant Phone (This phone number will be used for all correspondence related to this application)11. Applicant Email (This email address will be used for all correspondence related to this application)Save & ResumePreviousNextBUSINESS INFORMATION Please provide a clear overview of your business or organization.12. Legal Status of Business Corporation General Partnership Limited Partnership Non-Profit Corporation Co-operative Sole Proprietorship13. Name and Position of Representative Responsible for the Project 14. Name(s) and Positions of Principal Members (if applicable):15. How many years has your business been established? 16. How many people are currently employed by your business? Employment Type Number of Employees Contract PositionsSeasonal PositionsPart-Time PositionsFull-Time Positions 17. How many additional jobs will this project create within the next 2 years? Employment Type Number of Employees Contract PositionsSeasonal PositionsPart-Time PositionsFull-Time Positions Save & ResumePreviousNextPROJECT INFORMATION Please provide a clear overview of your project.18. Will this project increase the municipal tax base? Yes No19. Will your project negatively impact other businesses in the region? Yes NoIf yes, please describe the potential negative impact.20. What is the total cost of your project?21. How much funding are you requesting from South Saskatchewan Ready (SSR) for this project?22. What portion of the project costs will be covered by other sources (e.g., personal funds, private investors, bank loans or other funding programs)? Personal Investment Private Investment Bank Loans Other Funding Sources No Other Funding SourcesTotal Amount of Personal Investment:Total Amount of Private Investment:Total Amount of Bank Loans:Total Amount of Other Funding Programs:Save & ResumePreviousNextPROJECT INFORMATION CONTINUED Please provide a clear overview of your project.23. Provide an overview of your project.24. Describe the key activities involved in the project.25. How will the funding contribute to the start-up or expansion of your business?26. What impact will the project have on the region as a whole?27. What is the expected project completion date? 28. Project Expenses: Please list each expense separately in order of priority (most important to least important). Note that quotes are required for each expense. Expense Item: Expense Amount: Expense Purpose: File Upload: Please upload all quotes related to this project expenses listed above. Choose File 29. Have you attached all required quotes necessary for this application? Yes NoApplications will not be reviewed until all required quotes have been received.Save & ResumePreviousNextDECLARATION Please check that the information provided in this application is accurate and complete.30. Is this part of a multi-staged project? Yes NoDescribe future plans or subsequent phases.31. Do you intend to proceed with the project if you do not receive SSR funding? Yes No32. Is all of the information in this application accurate and complete to the best of your knowledge? Yes NoPlease confirm the information is accurate before submitting this application.33. Applicant Signature (By typing your full name, you are providing your electronic signature)34. Date I certify that the information provided in this application is accurate and complete.Save & ResumeSubmit Previous
