EmailMe Form - 2025 CHIP Application - Program/Project Funding

2025 CHIP Application - Program/Project Funding

Please read the Community Heritage Investment Program (CHIP) Guidelines before completing this form.

Submission of the online application form and additional documents is required by May 2nd, 2025 at 11:59pm.

If specific attachments are needed, they will be noted in the application’s description and can be found at www.londonheritage.ca/chip.

Priority Areas:
While CHIP funds a range of programs and projects, priority will be given to applications that:
• Support workforce development, professional development, and job creation within the museum and heritage sector.
• Further the development and creation of innovative programming.
• Encourage public awareness and appreciation of London’s heritage and cultural heritage sector.
• Increase access to quality local heritage and cultural heritage activities.
• Enhance, preserve, promote and celebrate London as a heritage and cultural community.
• Encourage collaborations within the sector.
• Increase access to volunteer opportunities for Londoners.
• Offer Londoners accessible opportunities to engage in and experience London’s heritage.
• Enhance London’s desirability as a community of choice.
• Support anti-Black racism, anti-Indigenous racism, anti-oppression, anti-islamophobia, diversity, inclusion, and equity.

Application Requirements:
• Applicants must complete the online application form and provide the required additional documents in accordance with funding timelines.
• Museums, heritage organizations, and professionals must be based in London, be a local resident, or conduct their business primarily in London.
• Museums and heritage organizations must provide information on their official status (non-profit number, charitable status registration number).
• Museum and heritage professionals must submit a copy of their resume and references.
• The funding request must fall in line with the funding guidelines of May 2 – April 30 of the following year. All invoices must be dated no later than March 31.

Terms:
Applicants will herein be referred to as a "museum or heritage organization" or a "museum or heritage professional". As an applicant, you will either be applying on behalf of a museum or heritage organization (registered charitable organization or incorporated non-profit) as an employee or volunteer, or you will be applying as an individual museum or heritage professional. Select the term that is most appropriate. Different documentation will be required depending on the type of applicant.

Program vs. Project:
A "program" is recognized as a regular, on-going activity that occurs throughout the year.
A "project" is recognized as a one-time activity or event that has a start and end date within the year.

Important Note:
Please complete the entire application form for Option 1. Program Funding or Option 2. Project Funding. If you are interested in applying for more than one Stream Option, please complete the applications separately.
APPLICANT INFORMATION
Name of applicant (registered name if incorporated): *
Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Website:
Social media accounts:
Please include all active social media accounts associated with your funding application.
The applicant is: *
Based on the selection above, please provide the appropriate information (if applicable):
ie. Charitable Registration # if a registered charity, or Letters Patent # if a non-profit. Additional documentation will be requested in "Supporting Materials" for museum and heritage professionals.
PRIMARY CONTACT
Name: *
First Last
Title: *
Phone: *
### - ### - ####
Email: *
MOST SENIOR OFFICIAL/SIGNING OFFICER
Name: *
First Last
Title: *
Phone: *
### - ### - ####
Email: *
Signing authority: *
Yes
No
PROGRAM OR PROJECT STREAM
If you have not already, please review the CHIP Guidelines. If you are interested in operational or internship funding, please see the Operational Application on www.londonheritage.ca/chip.
Select the stream that you are applying for: *
Program Funding
Project Funding
Do you have charitable status? *
Yes
No
(If you selected no) Are you able to partner with a charitable organization? *
Yes
No
If yes, please enter the name and details of the charitable organization that you can partner with: *
Are you running on a deficit basis?: *
If so, please provide information on why and how it is being managed.
If you get funded, will you be able to provide audited financial statements during the reporting period? *
If not, please explain.
If you get funded, can you provide proof of valid insurance up to $2M? *
If not, please explain.
Do you have additional sources of revenue?: *
Will additional revenue or funding be generated due to support from CHIP?: *
If so, please explain how these resources will be used.
Funding request from CHIP: *
Total anticipated revenue (including funding requested from CHIP): *
Total anticipated organizational expenses: *
OPTION 1. PROGRAM FUNDING
Title of program:
Describe the program and how funds will be used:
Provide details on whether the program is on-going or a new development.
While this funding can be used for on-going programs, please provide the funding period for which this funding will be used. Additionally, if there are any special dates associated with the program, please outline those as well:
Please demonstrate a clear plan for how the proposed program will be sustained and funded after the 12-month term of the grant.
Preference will be given to program proposals that demonstrate support to anti-black racism, anti-indigenous racism, anti-oppression, diversity, inclusion and equity. How does your program proposal reflect this?
Program timeline:
Attendance projection:
Describe your capacity to successfully undertake this program:
Include examples if possibe.
How will this funding benefit your program?:
Additional comments:
OPTION 2. PROJECT FUNDING
Title of project:
Describe the project and how funds will be used:
Provide the funding period for which this funding will be used. Additionally, outline all event dates:
Please demonstrate a clear plan for how the proposed project will be sustained and funded after the 12-month term of the grant.
Project timeline:
Attendance projection:
Describe your capacity to successfully undertake this project:
Include examples if possibe.
How will this funding benefit your project?:
Preference will be given to project proposals that demonstrate support to anti-Black racism, anti-indigenous racism, anti- oppression, diversity, inclusion and equity. How will your project proposal reflect this?
Additional comments:
FUNDING REQUEST MEASUREMENTS
Estimate below the number of people that will be impacted by your funding request

Number of: *

Full-time staff:
Part-time staff:
Contract staff:
Full-time staff supported by employment grants:
Part-time staff supported by employment grants:
Contract staff supported by employment grants:
Volunteers:
Volunteer hours:
New volunteers:

Outline your goal (1), objectives (3) and outcomes (3-5) associated with your funding request:

Goal:

Objective:

Objective:

Objective:

Outcome:

Outcome:

Outcome:

Outcome:

Outcome:
Do you believe you will encounter any factors that will influence your ability to be successful in reaching your targeted objectives?: *
Explain the overall impact of this funding. Why is this funding important?: *
Additional comments:
BUDGET
Ensure you fill out the Program and Project Budget provided by LHC. No other budget sheets will be accepted. This can be found at www.londonheritage.ca/chip/.
Budget *
SUPPORTING MATERIALS
Additional supporting materials (minimum of 1 - maximum of 5) can be included to enhance your proposed program or project, such as: marketing materials, video footage, sample programs/brochures, publications and supporting research.
Attachments:

Add File

If the applicant is a museum or heritage professional, please attach:
• copy of resume and references
Supporting Material 1 *
Description 1 *
Up to 150 words
Supporting Material 2
Description 2
Up to 150 words
Supporting Material 3
Description 3
Up to 150 words
Supporting Material 4
Description 4
Up to 150 words
Supporting Material 5
Description 5
Up to 150 words
PAYMENT INFORMATION
For first time applicants or applicants with financial updates.
Payment name:
Official address:

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Method of payment:
Electronic Fund Transfer
Electronic Fund Transfer Form
Please fill out the electronic transfer form provided on www.londonheritage.ca/chip/.
PAYMENT CONTACT
The individual who should be contacted for clarifications about banking information or financial matters.
Name *
First Last
Title: *
Phone: *
### - ### - ####
Email: *
DECLARATION
Ensure you sign and date the Program and Project Declaration Form provided by LHC. No other forms will be accepted. This can be found at www.londonheritage.ca/chip.

Please ensure you read the content of the Declaration and sign and date it before you upload.
Signing officer: *
First Last
Title: *
Declaration: *
If you have any questions, please contact:

London Heritage Council
Dhira Ghosh
226-927-4041
dghosh@londonheritage.ca
Name
First Last
Image Verification

Please enter the text from the image:
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Goal:
Objective:
Objective:
Objective:
Outcome:
Outcome:
Outcome:
Outcome:
Outcome:

Application Requirements:

APPLICANT INFORMATION

PRIMARY CONTACT

MOST SENIOR OFFICIAL/SIGNING OFFICER

PROGRAM OR PROJECT STREAM

OPTION 1. PROGRAM FUNDING

OPTION 2. PROJECT FUNDING

FUNDING REQUEST MEASUREMENTS

BUDGET

SUPPORTING MATERIALS

PAYMENT INFORMATION

PAYMENT CONTACT

DECLARATION