Funding Application

Have you reviewed the Pre-Application Funding Package yet?

Please review the Pre-Application Funding Package prior to proceeding with this application. If you have any questions regarding your application process email engagement@smhdrs.lounge.com

Project Information

Evaluation Plan

Indicate how you will assess whether the activity’s objectives are being met. How will deliverables be monitored? How and when will data (e.g., indicators) be collected and analyzed?

Please state if you require assistance developing an evaluation plan.

Timeline

Please include your planned milestones with an estimated time frame of accomplishing for each item.

Proposed Budget

Below is the format for which the budget should be submitted in. Feel free to use our online budget tool to assist you in this step of the process. (https://smhdrslounge.com/funding_resources/)

1. Sessional Time

Specialists
$158.97/hr

0
0
Sub Total: $

General Physicians
$134.77/hr

0
0
Sub Total: $

Allied Health
$70/hr

0
0
Sub Total: $
Total Sessional Budget: $
2. Meetings

Catering/Food
$30.00/person

0
0
Sub Total: $

Meeting Space/Venue
$105/person

0
0
Sub Total: $

Accommodation/Travel
$130/person

0
0
Sub Total: $
Total Meeting Budget: $
3. Other Items
Total: $
Total: $
Total: $
Total: $
Total Other Item Budget: $

Total Budget: $