Policy Development Contribution Program (PDCP) - Application for Funding
Application Form (Word 130 KB)
Please consult the PDCP Applicant Guide for specific instructions for completing this application form as well as information about the assessment process.
Section 1 - Project Information | |||
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Project Title |
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Proposed/Planned Project or Event Start and End Dates |
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Is your application for a single year project or a multi-year project? Single year projects finish on March 31st, 2018. Multi-year projects finish on March 31st, 2019. Single Year Multi-Year |
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Section 2 - Applicant Identification | |||
Legal Name |
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Operating Name (if different than above) |
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Business or Registration Number (if applicable) |
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Business Address |
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City/Town |
Province/Territory |
Postal Code |
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Business Telephone Number |
Business Email address |
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Section 3 - Organization Contact (if applicable) | |||
Given Name/Surname |
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Position Title |
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Telephone Number |
Email Address |
Section 4 - Project Description |
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a) Project Stream (check one): |
b) Related Program Area (check at least one): |
c) Project Objectives |
d) Project Activities |
e) Expected Results |
f) Knowledge Transfer |
g) Implementation Plan |
h) Safeguarding Information |
i) Risk Management |
Section 5 –Capacity |
Expertise |
Section 6 – Proposed Project Budget
Include a detailed budget of the amount sought using the form below: Annex A, Project Budget must be attached, detailing expenditures and revenues by fiscal year (April 1 – March 31).
Please ensure you consult item 9 of the Terms and Conditions for the Policy Development Contribution Program for eligible expenses. It is recommended you use the eligible expenses categories as much as possible when detailing your proposed budget in Annex A.
Please ensure you include all funding requirements in your budget, including any translation costs. Unaccounted costs can result in funding delays.
Section 7 - Disclosure
This proposal involves a prospective recipient who is subject to the Values and Ethics Code for the Public Service, the Conflict of Interest Act (S.C. 2006, c.9) or the Parliament of Canada Act (R.S. 1985, c.P-1.01):
No Yes, details are attached.
The proposal makes use of the services of a lobbyist, as defined by the Lobbying Act:
No Yes, details are attached.
The proposal involves a departmental official or reviewer who may sit on an advisory committee or board for the proposal:
No Yes, details are attached.
Section 8 - Declaration
Signature of Authorized Representative Dated:
____________________________________ _______________________________
Submit to
By email:
PS.PDCP-PCEP.SP@canada.ca
By mail:
PDCP
c/o Strategic Policy and Research Directorate
Public Safety Canada
269 Laurier Avenue West, 18th Floor
Ottawa, ON K1A 0P8
ANNEX A - Project Budget
Project Title |
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Government Funding(municipal, provincial, territorial, and federal) |
Year 1: April 1, 2017 – March 31, 2018 |
Year 2: April 1, 2018 - March 31, 2019 |
Total |
Subtotal – Cash |
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Subtotal – In-kind |
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Total Government Funding |
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Non-government Funding and other |
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Subtotal – Cash1 |
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Subtotal – In-kind2 |
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Total Non-government Funding and other |
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Total Revenues: |
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1. Cash: actual dollar value or revenues/funding received |
Annex B - Project Budget
Project Title |
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Detailed Eligible Expenditures by Category |
Eligible Expenditures |
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Year 1: April 1, 2017 - March 31, 2018 |
Year 2: April 1, 2018 – March 31, 2019 |
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Public Safety Canada Funding |
Other Government Funding |
Non-Government Funding and other |
Total Year 1 |
Public Safety Canada Funding |
Other Government Funding |
Non-Government Funding and other |
Total Year 2 |
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Subtotal – Cash1 |
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Subtotal – In-kind2 |
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Total Expenditures: |
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1. Cash: actual dollar value or revenues/funding received |
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