Community Shaping Grant Application

Thank you for considering Ayr Farmers Mutual's Community Shaping Grant. Please complete the application form below to apply for up to $25,000 for your new, elevated or expanded project, program or initiative. You may also email community@ayrmutual.com or call (519) 632-7413 or 1-800-265-8792 during our regular business hours for assistance.

Want to review the criteria again? Click here to go back to the Community Shaping Grant.

Please note: this form may not save your answers for later. Please plan to complete the application all at once.

Section 1: About Your Organization

Legal Name of Organization *

Registered Business/Charitable Number *

Date of Incorporation

Organization's Street Address (number and street name) *

City / Town *

Postal Code *

Organization's Phone *

Organization's Website *

Section 2: Applicant's Information

Applicant's First Name *

Applicant's Last Name *

Applicant's Title/Role *

Applicant's Email Address *

Applicant's Phone Number *

Preferred Method of Contact *

Phone

Are you authorized to submit this application, sign the funding contract and receive funding on behalf of your organization? *

Yes

If you are not the signing authority, or able to receive funds on behalf of your organization, please complete the information below.

Signing Authority's First Name

Signing Authority's Last Name

Signing Authority's Title/Role

Email Address

Section 3: Organizational Health

Financial Statements Upload: *

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Please upload your most recent financial statements. Audited, reviewed, or year-end statements are all accepted — upload whatever your organization produces.

What percentage (approx.) of your organization's funding goes towards administration and/or fundraising activities? *

How many paid employees do you have, or expect to have this year? *

How many active volunteers do you have, or expect to have this year? *

Does your organization have a Board of Directors? *

Yes, volunteer-based

Yes, paid (either per-diem, hourly or salaried)

Section 4: Your Project

Project Title (this is how we'll refer to your project): *

Grant Amount Requested (up to $25,000): *

Expected Project Start Date: *

Expected Project Completion Date: *

Who is primarily served by this project? (select all that apply) *

Children (0-12)

Youth (13-17)

Adults (18-64)

Seniors (65+)

Families

All Ages

Which UN Sustainable Development Goals does your project support? (select all that apply) *

No poverty — reducing financial barriers and improving access to basic needs

Zero hunger — food security, nutrition, and community food programs

Good health and wellbeing — physical and mental health, recreation, and wellness

Quality education — learning opportunities for all ages

Gender equality — empowering women, girls, and gender-diverse individuals

Clean water and sanitation — access to safe water and sanitation

Affordable and clean energy — renewable energy access and efficiency

Decent work and economic growth — skills, employment, and economic opportunity

Industry, innovation, and infrastructure — community infrastructure and innovation

Reduced inequalities — inclusion and support for marginalized or underserved groups

Sustainable cities and communities — safe, inclusive, and resilient communities

Responsible consumption and production — waste reduction and sustainable practices

Climate action — environmental stewardship and sustainability

Life below water — conservation of water ecosystems and resources

Life on land — protecting green spaces, biodiversity, and natural environments

Peace, justice, and strong institutions — community safety, access to justice, civic participation

Partnerships — collaboration across organizations and sectors

Section 5: Business Plan

Please download the AFM Community Shaping Grant Business Plan Template, complete it, and upload it here. The template covers: project description, community need, what makes it new/expanded/elevated, budget breakdown, quotes (if obtained), and how you'll measure success.

Upload Business Plan *

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Section 6: Impact Reporting

To help steer impact reporting, AFM will provide a simple template for impact reporting.

Can you commit to submitting an impact report within 60 days of project completion, or by December 31 of the grant year — whichever comes first? *

Yes

I have questions about this - please contact me.

Section 7: Recognition and Storytelling

Recognition and storytelling are part of what makes this grant meaningful to us. As a recipient, you'll be asked to recognize AFM as a proud community supporter and work with us to share your story. We'll always collaborate with you on the details — but these are part of the commitment.

Do you agree to recognize Ayr Farmers Mutual as a proud community supporter of this project? *

Yes

We'd love to share the story of your project with our community — through our social channels, in publications like our Annual Report, and if warranted, a joint press opportunity. Are you open to a joint storytelling opportunity with AFM? *

Yes

Declaration

Please read and check each box before submitting. *

I confirm that the information provided in this application is accurate and complete to the best of my knowledge.

I confirm that our organization is a registered non-profit or registered charity in good standing.

I confirm that the project described is new, expanded, or elevated — and would not proceed in this form without this funding.

I confirm that our organization is not dependent on this grant to continue operating.

I understand that grant funds must be put to work - they cannot be held in reserve, invested, or placed in any interest-bearing vehicle prior to use.

I understand that a post-grant impact report is required as a condition of receiving funds.

I understand that AFM's grant decisions are final.

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Printed Name of Signing Authority - signature will be required if your application is successful *

Date of Application *

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