"Future Farmer Program Training Approval Request" - Prince Edward Island, Canada

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Download "Future Farmer Program Training Approval Request" - Prince Edward Island, Canada

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Future Farmer Program
Training Approval Request
Project/Client # (Office Use Only):
1.
Applicant Information
Full Name (including middle name):
Organization Name:
Mailing Address:
Organization’s Twitter Handle (if
applicable
Village/Town/City
Province
Postal Code
Telephone No.
Cellular No.
Fax No.
E-mail Address
1.1
Type of Business or Organization.
Choose one and complete the required information
 Individual Proprietorship (if you file to Canada Revenue Agency as an individual)
Social Insurance Number: ____________________________________
 Incorporated Company (if you file to Canada Revenue Agency as a corporation)
(This number can be found on your tax forms and is required under the authority of the Income Tax Act)
Revenue Canada Business Number: ____________________________
 Partnership (if you file to Canada Revenue Agency as a partnership.)
Please include Revenue Canada Business Number
Revenue Canada Business Number: ____________________________
 Registered Charitable Organization / Not-for-Profit
Please include the charity registration number
Registration number: ___________________________________
 Other
Please Identify: ___________________________________
Registration number: ___________________________________
June 2019
Future Farmer Program
Training Approval Request
Project/Client # (Office Use Only):
1.
Applicant Information
Full Name (including middle name):
Organization Name:
Mailing Address:
Organization’s Twitter Handle (if
applicable
Village/Town/City
Province
Postal Code
Telephone No.
Cellular No.
Fax No.
E-mail Address
1.1
Type of Business or Organization.
Choose one and complete the required information
 Individual Proprietorship (if you file to Canada Revenue Agency as an individual)
Social Insurance Number: ____________________________________
 Incorporated Company (if you file to Canada Revenue Agency as a corporation)
(This number can be found on your tax forms and is required under the authority of the Income Tax Act)
Revenue Canada Business Number: ____________________________
 Partnership (if you file to Canada Revenue Agency as a partnership.)
Please include Revenue Canada Business Number
Revenue Canada Business Number: ____________________________
 Registered Charitable Organization / Not-for-Profit
Please include the charity registration number
Registration number: ___________________________________
 Other
Please Identify: ___________________________________
Registration number: ___________________________________
June 2019
2.
Training Event Information
Training Event Title: _____________________________________________________________________
Start Date: ____________ End Date: ____________
Cost of Training Event: ________________________
Please describe which skill(s) which would be supported by this training event: (please attach a copy of the training event brochure
or itinerary, if applicable)
3.
Public Trust
The Department may increase support to projects in receipt of CAP funding in order to enable the implementation of
communication activities that aim to reinforce confidence and public trust in the agriculture sector on PEI.
Do you wish to be considered for this funding?
 Yes
 No
4.
Department Goals
Please choose one goal to which your project most aligns.
 Environmental Stewardship
Promote environmental stewardship
 Local Food
Support local food through initiatives that promote a better understanding of where food comes from.
 Food Sales, Security and Safety
Develop a food cluster that promotes food sales, security and safety.
 Innovation, Sales and Exports
Encourage innovation, sales, and export possibilities for agriculture.
 Public Trust
Enhance the public’s trust in PEI’s agri-food sector.
 Human Capital
Development of a human capital strategy for PEI’s primary industries and food manufacturing.
5.
Declarations and Consent to Use Personal Information
By submitting this form for project funding, I/We:
understand that personal information on this form is collected under Section 31c of the Freedom of Information and
June 2019
Protection of Privacy Act R.S.P.E.I. 1988 c. F-15.01 as it relates directly to and is necessary for the Canadian Agricultural
Partnership program being delivered as part of the Canada-Prince Edward Island Canadian Agricultural Partnership
Framework and Bilateral Agreement. It will be used for determining eligible for program assistance and will be shared
with the Canada Revenue agency regarding the taxable benefit and Agriculture and Agri-Food Canada, regarding
program management, claims, audits, and evaluation of this program;
agree that information provided for purposes of the Canadian Agricultural Partnership may be shared with the Canada
Revenue Agency as it pertains to any potential taxable benefits, as well as with Agriculture and Agri-Food Canada or its
agent regarding claims, audits and evaluations as it relates directly to and is necessary for this contract being delivered
as part of the Canada-Prince Edward Island Canadian Agricultural Partnership Framework and Bilateral Agreements;
agree to participate in an evaluation and/or audit of the program;
understand that projects funded may be communicated through the Department’s public and social media channels;
understand that failing to comply with all application requirements may delay the processing of the application, or may
render me ineligible for receiving assistance under the program;
understand that the Social Insurance Number, Business Number and/or Charity Registration Number is collected under
the authority of the Income Tax Act for the purposes of reporting income;
acknowledge that my/our completing this application form and by receiving advice from the Department or other program
delivery agent does not oblige the Department or other delivery agents to provide funding;
understand that expenses incurred prior to the submission of an approved application are not eligible for assistance
under this program; and
agree that a completed Final Report including financial verification will be provided to the Department via email
(futurefarmer@gov.pe.ca) within 60 days of the completion of the project.
I, certify that the information given on this application is to the best of my knowledge complete, true and accurate.
Name of Applicant/Signing Officer
Signature of Applicant/Signing Officer
Date
(Please print)
6.
Submitting the Application
Completed applications may be submitted to the attention of the Future Farmer Program Officer via regular mail or
email.
E-Mail Applications:
Once you have completed the application, you may e-mail a signed copy in PDF to
futurefarmer@gov.pe.ca.
Please include the program name in the subject line.
Regular Mail Applications:
Applications may be submitted via regular mail at:
PEI Department of Agriculture and Land
11 Kent Street
PO Box 2000
Charlottetown, PE
C1A 7N8
(902) 368-4880 (telephone)
(902) 368-4857 (facsimile)
Questions?
Please e-mail futurefarmer@gov.pe.ca
June 2019
Comments (for office use only)
Date Application Received (Office Use Only):
Date Application Competed (Office Use Only):
Approved?
 Y
 N
Initials:
June 2019
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