2020/21 Resilience BC Individual Spoke Application

1 - Contact Information
Full legal name of organization*
Primary contact name*
First Last Position
Primary contact email*
Primary contact phone*
Organization physical address*
Street Address City Postal Code
Mailing address (if different from above)
Street Address City Postal Code
Website
Social media URL (Facebook, Twitter, etc.)
Please include your organization's social media accounts.

3 - Experience
Recent initiatives*
Briefly describe two (2) examples of recent initiatives that your organization has led to address racism and hate activity in your community (e.g. workshops, campaigns, policy work, etc.). Include descriptions of the activities, their intended goals, community partners, participants, challenges, and outcomes/impacts.
Supporting community response*
Provide an example of your organization’s experience in supporting community response to racism and hate motivated incidents (i.e., implementing a community protocol).
Leading stakeholder tables*
Provide a recent example of leading a community stakeholder table. Include details on who was involved, your organization’s role, the purpose, the challenges and successes.
Community representation*
Briefly describe how marginalized and underrepresented communities are involved in your organization’s work to address racism and hate, including how members of these communities are represented among your senior/management staff, consultants or partners working on these initiatives.

4 - Knowledge & Approach
Emerging and ongoing trends*
Briefly describe your understanding of the emerging and ongoing trends/issues of racism and hate activity specific to your community.
Effective approaches*
Briefly describe what approaches have worked at a local level to address racism/hate-related activity.
Challenges*
Briefly describe the challenges your organization experiences in its work to address racism and hate activity in your community, the challenges you anticipate in the future and how you are planning on addressing them.
Possible initiatives*
Briefly describe the type of initiatives you would lead in your community to address racism and hate.
Local partners*
Provide a list of local partners that you are currently working with and/or have actively sought support from in this application.
Representative Name Organization Phone Number Email Address
Budget*
Please provide a high-level tentative budget for delivering spokes services in your community.
Type of Expense Amount

5 - Organization
Description and capability
Provide a brief description of your organization, mandate, and information on why you are well-positioned to lead this work in your community (i.e. staff roles/capacity, reporting structures, programming alignments, etc.).*
References
Provide two (2) references from outside your organization, including their name, role, organization and contact information.
Reference 1*
Name and Position Organization Phone Email
Reference 2*
Name and Position Organization Phone Email
Financial Information
Fiscal year of Financial Statements used to provide information below:*
Total revenues for your organization as reported in your financial statements:*
Total expenditures for your organization as reported in your financial statements:*
Total assets for your organization at fiscal year-end as reported in your financial statements:*
Total liabilities for your organization at fiscal year-end as reported in your financial statements:*
Email
This field is for validation purposes and should be left unchanged.

Representative Name	Organization	Phone Number	Email	Address

Type of Expense	Amount

1 - Contact Information