Contact(s)

Form Builder Template

Required fields are marked with asterisks (*)

Thank you for your interest in applying for a Waterloo Regional Heritage Foundation grant.

Please find additional information about this grant application here.

If you are completing this application on your personal device, you may leave the page and revisit later; your responses will be saved for you until you submit the application.

Please complete this application form in its entirety. You may choose to print an application form here and submit a paper copy to the Foundation at the below noted address, you may submit your application by email using the fillable PDF version here, or you may submit your application using the online form found here.

Personal information, as defined by Section 2(i) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA. Personal information on this form will be used to assess applicants’ qualifications for appointment to one of the Region’s various committees or boards. Personal information may form part of meeting agendas and minutes, and therefore may be made available to members of the public at the meetings, through requests, and through the website of the Regional Municipality of Waterloo and/or applicable Board. Questions regarding the collection, use, and disclosure of this personal information may be directed to the Regional Clerk’s Office. The Foundation reserves the right to check references and verify information contained on these forms.

If you have any questions, if you require any assistance, or if you require any accommodations at any point during the application process, please contact the Waterloo Regional Heritage Foundation:

Waterloo Regional Heritage Foundation c/o Regional Clerk’s Oﬃce
150 Frederick Street
Kitchener, ON
N2G 4J3
Email: wrhf@regionofwaterloo.ca

**Please also note that if any of your responses require additional space than what is provided on this form, you may submit an additional word document or PDF to wrhf@regionofwaterloo.ca

Name of Group/Applicant:

Contact Person:

Phone Number:

Email Address:

Mailing Address:

City:

Postal Code:

Website (if applicable):

Is this project eligible for Equity, Diversity, and Inclusion funding?

Yes

Total Budget for Project/Event:

What is the purpose or mission of your organization?

How does your organization contribute to the preservation of heritage within the community?

Please describe the project you are requesting funding for.

What is the purpose, rationale, or significance of the project as it relates to the preservation of heritage within Waterloo Region?

Describe the intended impact and outcomes of the project and who will be impacted. If applicable, the proposal should indicate how the impact can be sustained or scaled beyond the funding year. Outline how the impacts align with the purpose of the fund.

Provide a project workplan and timeline, including a timeline of milestones that address the life cycle of the work, planning, support for collaboration, reporting, project closure, and dissemination.

Your organization should plan to acknowledge any grant received from the Waterloo Regional Heritage Foundation permanently and in promotional material. Please click "I agree" to confirm that your organization understands and agrees to this.

I agree that should my organization receive any grant(s) from the Waterloo Regional Heritage Foundation, my organization will acknowledge this permanently and in promotional material