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Grant funding for Fisheries and Oceans Canada’s (DFO’s) Indigenous Habitat Participation Program

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Application form – Alternative format for preview only

Indigenous Habitat Participation Program - Grant funding is available to support the participation of Indigenous Nations, Indigenous groups, communities and Indigenous organizations involved in consultation with regulatory decisions in relation fish and fish habitat protection under the Fisheries Act and Species at Risk Act.

Specifically, these decisions involve whether to:

Please complete, sign and return this application form to your regional contact. This contact will also be available to provide assistance in completing the form or to answer questions.

Provision of incomplete or insufficient information may result in delay or rejection of your application.

Note:  DFO will discuss with your organization about how the Crown consultation process will be undertaken. Applications should be guided by a consultation approach developed by the applicant and DFO. The consultation approach sets out the consultation expectations, including timelines, scope and activities.

Preference will be given to proposals requesting up to $21,000. Proposals greater than $21,000 may also be accepted if the proposed expenses are relevant to supporting deep and complex consultation activities. For applications exceeding $21,000 it is recommended that applicants contact the relevant regional DFO Indigenous Relations Unit directly or via the regional Indigenous Habitat Participation Program contact before submitting an application.

Indigenous Habitat Participation Program grants component is not a refundable program. Any activities undertaken prior to grant approval will not be reimbursed.

Part 1 – Information

Legal Name of Applicant (e.g., legal name of the Organization)

Name and Title of Authorized Individual (person representing the Organization)

Telephone Number

Alternate Telephone Number

Email Address

Mailing Address (for notification and payment)

Number and Street (Suite. No., P.O. Box, Other)

City/town

Province/territory

Country

Postal code

In which official language do you wish to communicate with DFO?

Project information

Proposed title for Indigenous Habitat Participation Program project (include in title an indication of which proposed project (e.g., works, undertakings or activities) you are being consulted on):

DFO File number (included in the letter sent to your community/group initiating the consultation process):

Eligible recipients are Indigenous groups whose Aboriginal or Treaty rights may be affected by a project decision under the Fisheries Act and/or Species at Risk Act.

(Select the most appropriate response(s) that best describe your Organization)

If you are a body or entity representing multiple rights-holding community(ies), identify the communities that the organization may represent:

Eligible activities of the Indigenous Habitat Participation Program Grant are contained under the following two groups:

(Select the description(s) that best describe your proposed activities)

Please describe how the proposed activities will be undertaken to support participation in the Crown consultation process:

Please include, or provide as a separate attachment, the consultation approach established with DFO.

(Maximum 500 words)

Please describe how the proposed project (e.g., works, undertakings or activities or fish habitat bank and related conservation projects) requiring a Fisheries Act/Species at Risk Act decision may adversely impact your Aboriginal and treaty rights:

(Maximum 500 words)

Budget information

Expenditures must be directly related to eligible activities outlined in the Application Guidelines

Please identify the proposed budget for the total cost of the activity(ies) using the budget table below.

In this table, please identify the dollar amount and include a brief description for each applicable eligible expenditure category including how these costs were calculated.  Please include the amount requested from DFO and all other sources of funds (cash or in-kind support) supporting Crown consultation process.

The amount of funding requested in any application should be at the minimum level required to carry out consultation activities and achieve the expected results.

In the event that a consultation body or entity, established by rights-holding communities, is representing multiple communities, consideration will be given to adjust the funding preference to address the request on behalf of multiple communities.

Has your Organization sought funding or plans to seek funding from other federal or provincial departments/agencies for consultation on this same project?

If yes, please provide the name of the department/agency which has provided funding. Additionally, please include what type of expenses the other sources of support are covering for this project in the budget table below:

Budget Information
Eligible Expenditure Category Description of Activity Cost Breakdown Details Amount Requested from DFO Other Sources of Funds (Cash or in-kind)
1. Salary and wages and employer benefits including mandatory benefits - - - -
2. Professional technical and specialized services - - - -
3. Software and computer equipment - - - -
4. Printing - - - -
5. Telecommunications, communications/network, data communications, or image/video communications services - - - -
6. Postage, parcel post or courier services - - - -
7. Rental of office space, room and/or facilities - - - -
8. Conferences, workshops and meetings - - - -
9. Travel expenses (including kilometers/flights. Meals, incidentals and accommodation) - - - -
10. Honoraria for Elders and/or Indigenous Knowledge holders - - - -
11. Cost for ceremonial offerings - - - -
12. Administrative overhead (Capped at 15% of expenses) - - - -
TOTAL - - - -

Part 2 – Declaration / Signature

Name of Authorized Officer (Please Print)

Signature of Authorized Officer

Date (dd-mm-yyyy)

Date modified: