Application form: Expert engagement initiative on clean growth and climate change

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Application form: October 2018

Blank cells in tables indicate information which should be filled in by the applicant.

Step 1: Check your eligibility

Before applying, complete the eligibility checklist below to ensure that you meet the eligibility criteria for funding. If you answer “No” to any of the following questions, your project is ineligible for funding under the Expert Engagement Initiative. Please review the details on eligibility criteria outlined in the Expert Engagement Initiative Applicant Guide.

Eligibility checklist
Yes No Question
    Are you an organization that is (or will be) incorporated under the Canada Not-for-profit Corporations Act?
    Does your proposal address climate change adaptation and mitigation and clean growth?
    Are your planned activities eligible for funding (see section 5.2 of Applicant Guide)?
    Does your proposal address the program objective (see section 2.2 of Applicant Guide)?
    Is the amount requested from Environment and Climate Change Canada (ECCC) no more than $20 million over five years, beginning in fiscal year 2019-2020?
    Do you have Letters of Commitment from at least ten (10) experts that have committed to be involved in the governance and/or operations of InstituteFootnote 1?
    Do you have Letters of Support from at least three (3) organizations active in clean growth and climate change in Canada?

Step 2: Complete the application form

Section A: Applicant contact information

Applicant organization name:

Applicant contact name:

Email address:

Street address (include city, province/territory, postal code):

Mailing address (if different from street address):

Mandate (describe the proposed Institute’s mandate using 250 words or less):

Organization website (if applicable):

Section B: Proposal context

Provide an overview of the clean growth and climate change research and advice landscape in Canada, including a description of deficiencies and gaps that this proposal will seek to address.

Situate the activities and expertise of the Applicant organization and management team in the context of current and past activities undertaken in Canada on clean growth and climate change issues.

Please fill out the section on the following pages (maximum 1000 words, 2 pages).

Proposal context:

Section C: Work plan

Work plan:

List the key activities that will be undertaken on an annual basis and identify any resulting milestones that will be achieved in each year, and the estimated costs associated with completing those activities and reaching those milestones.

Please complete the chart on the following pages. If you require more space, please attach a separate sheet and be sure to include the Applicant name at the top of the page.

Work plan: year 1 (2019 to 2020)
Timeline Key activity Milestone(s) Associated costs ($) Responsible personnel
         
         
         
         
Work plan: year 2 (2020 to 2021)
Timeline Key activity Milestone(s) Associated costs ($) Responsible personnel
         
         
         
         
Work plan: year 3 (2021 to 2022)
Timeline Key activity Milestone(s) Associated costs ($) Responsible personnel
         
         
         
         
Work plan: year 4 (2022 to 2023)
Timeline Key activity Milestone(s) Associated costs ($) Responsible personnel
         
         
         
         
Work plan: year 5 (2023 to 2024)
Timeline Key activity Milestone(s) Associated costs ($) Responsible personnel
         
         
         
         

Section D: Planned outputs

What are the direct products or outputs stemming from the activities being undertaken?

Examples of outputs may include, but are not limited to:

Please fill out the section on the following page (maximum 500 words, 1 page).

Planned outputs:

Section E: Costs

Sources of funding

There is no requirement for Applicants to secure other sources of funding. However, if Applicants anticipate receiving other sources of funding, they must identify this. All funding sources that will provide either cash or in kind support to the Institute must be identified.

In-kind support is the cash-equivalent of a good, service or support provided to the Institute, for which no cash is exchanged. In-kind support should be identified at market value.

Please complete the following chart. If you require more space, please attach a separate sheet and be sure to include the Applicant name at the top of the page.

Sources of funding
Contributor Time period Cash In-kind Total
         
         
         
         
         
         

Detailed budget

Identify all cost elements included in the budget for which funding is being sought from ECCC. Indicate the amount required from ECCC per cost element, per applicable year. Costs must be reasonable and necessary and based on sound assumptions.

Please complete the chart on the following page. If you require more space, please attach a separate sheet and be sure to include the Applicant name at the top of the page.

Cost element Year 1 ($) Year 2 ($) Year 3 ($) Year 4 ($) Year 5 ($) Total ($)
Detailed budget
Salaries and benefits            
Contractors and professional services            
Communications activities, printing            
Materials and supplies            
Travel and hospitality            
Administrative costs
           
Contribution to partner organizations (if applicable)            
Other (if applicable):            
Other (if applicable):            
Other (if applicable):            

Section F: Governance plan

Applicants must:

Please fill out the section on the following pages (maximum 1000 words, approximately 2 pages).

Governance plan:

Section G: Management team

Identify and provide details on key personnel who will lead the work of the Institute (on the Board of Directors, on an advisory council (if applicable), on staff, etc.), including their qualifications, experience, and key duties and responsibilities. This section should demonstrate the group’s experience and capacity to execute the Climate Institute Strategy.

Please complete the chart on the following page. If you require more space, please attach a separate sheet and be sure to include the Applicant name at the top of the page.

Management team
Name and title Role Qualifications and experience Key responsibilities
       
       
       
       
       
       
       
       
       
       
       

Section H: Partner organizations

Summary of organizations associated with the Institute (e.g., other not-for-profits, academic institutions, professional associations, private enterprises, governments, representation organizations), a description of their involvement (e.g., respective roles, and cash and in-kind contributions, if applicable) and their expected outcomes from participation, including expectations to be Ultimate Recipients of EEI funding (if applicable).

Please complete the chart on the following page. If you require more space, please attach a separate sheet and be sure to include the Applicant name at the top of the page.

Partner organizations
Organization name Role Expected outcomes
     
     
     
     
     
     
     

Section I: Intellectual property

This section focuses on demonstrating the Institute has an IP strategy that will support dissemination of information and tools to a wide cross-section of Canadians.

Applicants must:

Describe the intellectual property strategy that will be implemented. An open source approach is encouraged, but not required. Description should:

Please fill out the section on the following page (maximum 500 words, approximately 1 page).

Intellectual property:

Section J: Equity, diversity and inclusion plan

This section focuses on demonstrating action and support to help more women and underrepresented groups participate.

Applicants must:

Describe the Institute’s gender balance and diversity plan, which includes:

Please fill out the section on the following page (maximum 500 words, approximately 1 page).

Equity, diversity and inclusion plan:

Section K: Official languages plan

Provide a detailed official languages plan (see the Applicant Guide for more information).

Please fill out the section on the following page (maximum 500 words, approximately 1 page).

Official languages plan:

Section L: Risk management plan

This section focuses on the primary risks to the Climate Institute Strategy and on the Applicants' proposed mitigation strategies.

Applicants must:

Describe the three to five main risks that could have an impact on the Institute’s ability to carry out its activities and achieve its desired objectives, as well as the approaches that will be used by the Institute to mitigate each of these risks. If the Institute will be accepting funding from other sources and there is a risk associated with these funding sources, including real or perceived conflicts of interest or issues of credibility, this risk should be addressed in this section.

Please fill out the section on the following pages (maximum 1000 words, approximately 2 pages).

Risk management plan:

Section M: Communications plan

Provide a detailed communications plan (see the Applicant Guide for more information).

Please fill out the section on the following page (Maximum 500 words, approximately 1 page).

Communications plan:

Section N: Performance measurement

The Institute is expected to collect data to measure and report on their performance. The Institute will be asked to track their activities and outcomes and submit annual reports to ECCC. They will be expected to generate adequate metrics to demonstrate the results and to work with ECCC to support the Department in reporting on program results. Data requirements include, but are not limited to:

Applicants must:

Please complete the chart on the following page. If you require more space, please attach a separate sheet and be sure to include the Applicant name at the top of the page.

Performance measurement
Outcome Indicator(s) Target Source of data Data collection frequency
         
         
         
         
         

Step 3: Complete the climate institute strategy

Outline a strategy detailing the vision and mission for the Institute and how it will develop and deliver expert advice that is policy-relevant, timely and responsive to the needs of decision-makers and Canadians.

Applicants must:

Please fill out the section on the following pages, or attach as a separate document (maximum 2500 words, approximately 5 pages).

Climate institute strategy:

Step 4: Gather your supporting documentation

All information and supporting documentation must be included with the Application Form. No additional information received after the application deadline will be taken into consideration.

Appendices must be provided at the same time as the written proposal and the EEI Application Form. The following appendices must be provided as part of the Application:

  1. Governance Documents (including the Institute’s Articles of Incorporation, organization bylaws, organization chart)
  2. Letters of Commitment from individuals and Letters of Support from organizations
  3. Resumes of management team

Governance documents

Applications must include the Articles of Incorporation for the Institute (either the Articles of Incorporation on file with Corporations Canada, the articles that will be filed upon incorporation of the not-for-profit, or the amended articles that are intended to be filed).

Applications must include any bylaws for the Institute, either in force or planned.

An organization chart must be included, providing an overview of the governance structure, responsibilities and roles.

Letters of Commitment and Letters of Support

Applications must include one page (maximum) Letters of Commitment from qualified experts that have committed to a role with the proposed Institute (either on the Board of Directors, staff, or formal advisory council). Applications must also include one page (maximum) Letters of Support from organizations active in the areas of clean growth and climate change indicating their endorsement of the proposal. A minimum of ten (10) Letters of Commitment from individual experts and three (3) Letters of Support from organizations must be submitted.

Proposals that do not provide the required Letters of Commitment and Letters of Support will not be eligible for funding.

Letters of Commitment from individual experts must provide details on their intended role with the Institute. Letters of Support from organizations (e.g., not-for-profit organizations, academic institutions, provincial, territorial, municipal and indigenous governments) must explain their role with the Institute, involvement in its activities, and, if applicable, any financial or in-kind contributions.

Applicants are strongly encouraged to secure Letters of Commitment and Letters of Support beyond the minimum requirements outlined above. The demonstration of strong support from individuals and organizations active in clean growth and climate change in Canada will be taken into account during the assessment of proposals.

Letters of Commitment and Letters of Support must adhere to the following requirements:

Resumes of management team

Applicants must:

Step 5: Submit your application and supporting documentation

Once you have completed your application sign the Applicant Declaration on the following page.

Attach the application form, the signed declaration page, and all required and other supporting documents and submit your package electronically to ec.expertscpc-pcfexperts.ec@canada.ca by January 14, 2019 at 11:59PM (PST).

In the email subject line, include the name of the Applicant.

An email confirming receipt of your application will be sent within 5 business days. If you do not receive an email confirmation, please contact us by email at ec.expertscpc-pcfexperts.ec@canada.ca. It is strongly recommended that you retain a copy of the email to show the date and time the application was submitted.

Applicant declaration:

Signature:

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