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Attached you will find an Application for Funding, as well as a checklist of necessary documents to include with your application.

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1 March 2016 Dear MAZON applicant: MAZON Canada is the national Jewish response to hunger. MAZON raises funds primarily from within the Jewish community and allocates those funds on a non-denominational
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1 March 2016 Dear MAZON applicant: MAZON Canada is the national Jewish response to hunger. MAZON raises funds primarily from within the Jewish community and allocates those funds on a non-denominational basis to Canadian organizations battling hunger on the front lines. MAZON grants are intended to be used toward the relief of hunger in Canada. Attached you will find an Application for Funding, as well as a checklist of necessary documents to include with your application. Please return two copies of the completed application form and two copies of your most recent program budget, food budget and financial statements to: or mail to 788 Marlee Avenue, Suite 301, Toronto, Ontario M6B 3K1. If you do not include financial information statements dated within the last twelve (12) months with your application, we will be UNABLE to consider your request. Please complete the attached application as soon as possible in order that our Allocations Committee will have time to properly assess your organization s needs. This application may also be downloaded from our website Click on 'Apply for Funding' at the bottom of the homepage, and download the National Application for Funding 2015 form. Our office must receive the completed application by Friday April 1st at 1 pm. We look forward to hearing from you and wish you much success in your important work. Sincerely, Suellen Boyd Chair, National Allocations Committee 2 MAZON Application for Funding Checklist, Spring 2016 Have you included 2 copies of the application? Does your organization meet our allocations criteria? MAZON Canada funds: Small, poorly capitalized, storefront operations which deal as directly as possible with the hungry; Organizations which target specific groups in need, in particular, children and single parent families; Organizations with a high volunteer component; Organizations which work to end food bank dependency; Food-related costs. MAZON Canada does not fund: Large, well capitalized organizations which have a specific hunger-related project, funds for which cannot be found in their regular operating budget; Highly funded multiservice organizations Salary, rent, maintenance, administrative costs, equipment Have you included all relevant financial information, i.e. program budget, food budget and current financial statements? (no more than 12 months old) If your organization is governed by a board of directors, have you attached a list of their names and addresses? Have you attached your organization s mission or statement of principles? Have you included your contact information? If you are a school requesting funding for a meal program, have you completed Form 2? If you are an Out of the Cold Program, have you completed Form 3? 3 Application for Funding Please address any questions to the attention of Natalie Wahiche at (416) or toll free MAZON-22 ( ) or by PLEASE NOTE: MAZON only funds food programs. Further, your application will only be considered if it is accompanied by current financial statements (no more than 12 months old). GENERAL INFORMATION 1. Name of organization: 2. Address: 3. Telephone: ( ) 4. Fax ( ) 5. 6a. Charitable number: 6b: If you do not have a charitable number, or it is still pending, please explain: 7. Date of incorporation: 8a. Have you applied for MAZON funding before? Yes No 8b. If Yes : did you receive funding? Yes No 4 8c. How much did you receive and in what year? _ 8d.When was the last time you applied? _ 8e.If your application for funding was declined in the past, please describe what has changed. ORGANIZATION STRUCTURE 9. Contact person: 10. Position/Title: 11. Telephone: ( ) 12. address: 13. Senior staff person: 14. Telephone: ( ) 15. address: 16. # of paid staff: 17. # of volunteers: 18a. Is your organization governed by a board of directors? Yes No 18b. If you have checked yes , please attach a list of the names and addresses of board members. 5 18c.If you have checked no please describe your administrative structure. MISSION 19. Please attach the mission or statement of principles of your organization. 20. Who are your clients? 21. For which of your organization's programs are you seeking funding? PLEASE NOTE: If you are a school seeking funding for a meal program, proceed to FORM 2 FUNDING REQUEST 22a.What is the amount of funding requested? 22b.Please describe the details of the specific program: _ 23. Describe how the funds will be used to support the program which meets MAZON's funding criteria: 6 24. What are your other sources of funding for this program? If not listed on your financial statement, please specify amounts. 25. Please explain any shortfalls in funding (if applicable). 26. Please explain any excess or capital reserves (if applicable). _ 27. How many participants directly benefited from the program for which funds were requested? Please be as specific as possible. 28. Please attach a program budget for which funds are requested, as well as a food budget (including donated items i.e. food). 29. Please attach any registration forms to attend your program. 7 FINANCIAL INFORMATION MAZON Canada will not consider applications that are not accompanied by a current financial statement. If you are an Out of the Cold Program, please proceed to FORM How are your organization's finances managed and by whom? 30a. Please provide the name and contact information for the person who manages your organization's finances: You have now completed your application for funding. 8 FORM 2 To be completed by schools seeking funding for a meal program All personal contact information will be dealt with in accordance with our Privacy Policy. 1. What is the amount of funding you are requesting? 2. For what program is funding being requested? 3a. How many students will this program feed? 3b. How many students are being subsidized? 4. Describe the purpose and goals of your food program: 5. What is the per person cost of this program? _ 9 6. What are the other sources of funding for this program? If not listed on your financial statement, please specify amounts. 7. Please explain any shortfalls in funding (if applicable). 8. Please explain any excess or capital reserves (if applicable). _ 9. Who is the person responsible for running this program? Name: Title: Phone Number: Please attach a program budget. 11. Please attach any registration forms to attend your program. The following must be completed by the school principal: I (please print Principal's name) affirm that the information contained in this application is true. Principal's signature 10 You have now completed your application for funding. FORM 3 To be completed by Out of the Cold Program applicants All personal contact information will be dealt with in accordance with our Privacy Policy. 1. How many people will this program feed? 2. What is the per person cost of this program? 3. Who is the person responsible for running this program? Name: Title: Phone Number: 4. Please attach a copy of your program budget. You have now completed your application for funding.
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