Agriculture Opportunity Fund Grant Program Application Form

AGRICULTURE OPPORTUNITY FUND GRANT PROGRAM APPLICATION FORM

April 1, 2016 – March 31, 2019

Funding Program

Application Deadline: January 8, 2016

Changes in the Grant
Program from the
previous grant cycle / •  AOF has moved to a manpower and extension capacity building grant
•  Presentation to the producer committee is no longer required
•  The amount of matching funds required has been reduced
•  The three program areas have changed to Manpower, Agriculture Extension, and Environmental Stewardship program
•  Maximums are in place for the Manpower and Agriculture Extension Programs, but not for the Environmental Stewardship Program
•  Written Extension plans will be required by successful applicants
•  Performance measures will be determined and reported on through the Extension Plan
•  Only electronic applications are being accepted
•  Use Schedule 1 and 2 to explain and calculate your yearly extension expenses
Grant Application Deadline / •  Applications must be emailed by January 8, 2016
•  Applications received after January 8, 2016 will not be eligible for funding.
Eligibility Criteria Summary / •  Please refer to the Program Terms and Conditions for more information.

Contact Information

Organization:
Contact Name:
Address:
E-mail: / Phone: / Fax:
Chairman’s/President’s Name:
E-mail: / Phone:

Manpower Program (90% grant, maximum $100,000 per year) – Managers & full time Technical staff will be supported

Staff name and position / Annual Salary & Benefits Budgeted / Annual Grant Request: / Recommended
(office use only)
Total Annual Salaries
Total Annual Grant Recommended

Agriculture Extension Program (90% grant, maximum $40,000/year)

Description / Budgeted Annual Expenses: / Annual Grant Request: / Recommended
(office use only)
Agriculture Extension Expenses (From Schedule 1):
Administration Expenses:
Total Annual Grant Recommended

Environmental Stewardship Extension Activities Program (90% grant, no annual maximum)

Description / Budgeted Annual Expenses: / Annual Grant Request: / Recommended
(office use only)
Manpower (up to one full time staff):
Administration Expenses:
Environmental Stewardship Extension Expenses
(from Schedule 2):
Total Annual Grant Recommended

Summary (Office use only):

Manpower Program / Agriculture Extension Program / Environmental Stewardship Program / Total Annual Grant Recommended
2016-17
2017-18
2018-19
Recommended Three year Grant
Statement of Certification
NOTE: PLEASE READ THIS CAREFULLY BEFORE SIGNING
I, ______of ______, certify the following:
·  I am the applicant or authorized to complete this application on behalf of the applicant.
·  I understand and agree to the Terms and Conditions of the Agriculture Opportunity Fund (AOF) Program.
·  I understand that if this application is accepted, the applicant will be required to enter into a grant agreement;
·  I understand that funding for the AOF Program is limited;
·  I understand that Agriculture and Forestry discloses the following information for all grant recipients: the grant recipient name, the amount of the grant, the program the grant is paid under, and the payment date;
·  AND I certify that the information provided in this application is, to the best of my knowledge, true, complete and correct.
Print Legal Name of Applicant: ______
Signature of Chairman/President: ______Date: ______
The personal information that you provide on this form and any attachments will be used for the purpose of administering the Agriculture Opportunity Fund (AOF) Program. Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act and is protected by the privacy provisions of the Act. If you have any questions about the collection, use or disclosure of your personal information, please contact the manager of the AOF Program at: Room 106, 4709 44 avenue, Stony Plain, AB T7Z 1N4; 780 968-6555; for toll free access, dial 310-0000 followed by telephone number.

Once this document is complete, print, sign and date. Please scan the document and send a pdf version, via email, to Fred Young, Program Manager at .

Schedule 1

Agriculture Extension Program

Use this chart to calculate and describe the budget and grant request for Agriculture Extension Program. Input the total values from the Budgeted Annual Expenses and the Annual AOF Grant Request columns into your application. Please list an activities/projects planned in collaboration with AF first.

Activity description: Please identify any AF collaboration activities/projects/programs you are working on and anything else AOF dollars contribute to. (RVT cereal, RVT Pulse, Pest monitoring, AF project, Contracted projects, Crop walk, Grazing school, On farm demo, ) / Budgeted Annual Expenses: / Contribution from AF but Not AOF / Contribution from ARECA / Annual AOF Grant Request
TOTALS

Keeping in mind how your organization will track and report success of various extension tools, use this chart to record the number targeted activities each year. The list of extension activities is given only as an example, please modify the list of activities to best fit your organizations extension plan.

Activities and Products: please quantify the number of extension products and activities for each year. / 2016-17 / 2017-18 / 2018-19
Workshops and seminars
Website/social media (if developing something new)
Fact sheets
Newsletters
On Farm Demo (projects one on one with producer)
AF Plot trials expected
Contracted plot trials
Crop walks, field tours, grazing days
Others (list below)

Schedule 2

Environmental Stewardship Extension Activities Program

Below are three figures each with a different heading, Stewardship Self-Assessment Tools (such as EFP), Growing Forward 2 (GF2) and Local Initiatives. In order to obtain funding through the Environmental Stewardship section we require that you complete all sections of the Stewardship Self-Assessment Tools and Growing Forward 2 figures. Completion of the Local Initiatives is not required, however if you are seeking funding for environmental extension initiatives in an area that is not covered by the GF2 or EFP sections please complete this section in order for this program to be considered for additional funding.

While completing the performance measures section of each figure we encourage applicants to build upon what has already been outlined in the application in order to help them build the best possible application. However, additions in this area are not a requirement and it is down to the applicant to decide how to best measure the success of their programing.

Stewardship Self Assessments Tools (such as EFP)

Environmental Goal 1
Strategy 1
Performance Measures
1.  # of producers assisted with stewardship self-assessments
2.  # of producers receiving assistance with stewardship self-assessments outside of direct help with the tools (e.g. informal conversations, referrals, etc.)
3.  # of people attending extension events
4.  # of people accessing extension materials (e.g. Newsletters, web pages, articles, etc.)
Activity / Contributors Involved / To be carried out in: (Please check all which apply)
2016 / 2017 / 2018
Describe your activities / Include Names, roles and responsibilities

Growing Forward 2 (GF2)

Environmental Goal 2
Strategy 2
Performance Measures
1.  # of producers assisted with Growing Forward 2 applications
2.  # of producers receiving assistance with Growing Forward 2 outside of direct help with applications. (e.g. informal conversations, referrals, etc.)
3.  # of people attending extension events
4.  # of people accessing extension materials (e.g. Newsletters, web pages, articles, etc.)
Activity / Contributors Involved / To be carried out in: (Please check all which apply)
2016 / 2017 / 2018
Describe your activities / Include Names, roles and responsibilities

Local Environmental Initiatives

Environmental Goal 3
Strategy 3
Performance Measures
Activity / Contributors Involved / To be carried out in: (Please check all which apply)
2016 / 2017 / 2018
Describe your activities / Include Names, roles and responsibilities

Based on the information provided above, please use the table below to identify the anticipated costs or delivering extension materials on each of the environmental areas of concern. After completing this section please indicate the requested grant amounts associated with delivery of extension on each of the environmental area of concern.

Environmental Area of Concern / Anticipated Costs of Extension Activates / Requested Grant Amount
Stewardship Self-Assessment Tools
Growing Forward 2
Local Environmental Initiatives
Total

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