Please enable JavaScript in your browser to complete this form.Download a PDF version of this form here and the guide here and email a completed version to: veteran.info@metisveterans.caPart 1 - ApplicantInformation about Applicant1. Legal name of organization or individual *FirstLastThis is usually the name on file with the Canada Revenue Agency or a provincial or territorial equivalent. It may also appear on funding cheques2. Applicant type *Choose TypeIndigenous peopleMétis Nation CitizensNon-Indigenous peopleIndigenous Government, organizations, and institutesRecognized Métis Nation Government, organizations, and institutesResearch or educational institution (such as a university)Not-for-profit organizationOther – please specifyChoose the type that best describes youOther3. Address of Applicant *Address Line 1Address Line 2CityState / Province / RegionPostal CodeGive a complete street address and include the city, province, and postal code. Use a format recognized by Canada Post. Visit the Canada Post website for more information.Contact InformationPrimary contact. This is the person responsible for completing this form. All correspondence regarding this expression of interest will be sent to this person.LayoutName *FirstLastPhone Number *Preferred language for written communication. Choose one. *EnglishFrenchPosition/TitleEmail *Preferred language for spoken communication. Choose one. *EnglishFrenchPart 2: Project informationPlease consult the program guidelines to help you complete this section. 1. Provide a short title that describes your project *2. Planned project start date *3. Planned project end date *4. Provide a short description of your project *5. Provide a short description of how your project will demonstrate/benefit Métis and Indigenous Veterans’ history, culture, beliefs and/or perspectives *6. Provide a short description of your project ideas and/or design. Attach other files as needed. *Attachments Click or drag files to this area to upload. You can upload up to 3 files. .doc, .xls, .ppt, .pdf formats - 5 mb limit, 3 file maximum7. Provide a short description of your project’s desired impact whether that consists of a long-term impact (such as a statue or memorial plaque), or a short-term impact (such as holding a commemorative event on a specific date). *8. Provide a short description of where your project will take place or be installed, as the case may be. *9. Provide a short description of any Métis and/or Indigenous participation that you will utilize in the execution of your project (for example, the use of Métis employees, subcontractors, Indigenous artists, etc.). Please be as accurate as possible regarding numbers of participants and the anticipated cost of their work and value they will bring to the project. *Part 3 - Budget Estimate1. Please indicate how much funding your proposed project will require for Year 1 *Maximum project funding is $100,000 per year. The total cannot exceed $200,000 over 2 years. NOTE: your project does not have to total $100,000, but cannot exceed that value in either year.2. Please indicate how much funding your proposed project will require for Year 2 *Maximum project funding is $100,000 per year. The total cannot exceed $200,000 over 2 years. NOTE: your project does not have to total $100,000, but cannot exceed that value in either year.Have you applied for and/or received committed funds from any other sources? Please describe. *Part 4: Attestation To be eligible for this funding opportunity, you must certify the accuracy of the information you have provided. Please attest to each of the following statements: *I am the official representative for this expression of interest.My organization has given me the authority to submit this expression of interest.I certify and warrant for my organization and in my personal capacity that all of the information I have provided is true, accurate, and complete.Name of official representative: *FirstLastSignature *Clear SignaturePosition/Title:Date: *Please carefully review all of the information you have provided before you submit this form.Submit