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[null,"DISTRICT OF NIPISSING SOCIAL SERVICES ADMINISTRATION BOARD (DNSSAB)"]
[null,"CENTRE-BASED FULL-DAY LICENSED CHILD CARE SERVICES"]
[null,"CWELCC START-UP GRANT APPLICATION FORM"]
[]
[null,null,"Thank you for your interest in the creation of new, affordable child care spaces for children under the age of six in the "]
[null,null,"District of Nipissing.  For more information please refer to Start-Up grants section in the",null,null,null,null,"2024 CWELCC Guidelines"]
[]
[null,null,"Please submit completed CWELCC Start-Up Grant Application form(s), including anticipated date of space creation, and "]
[null,null,"completed Centre-Based Operating Budget(s) (enclosed) by email to ",null,null,null,"csfundingrequest@dnssab.ca"]
[]
[null,null,"Application date :"]
[]
[null,null,"SECTION 1 : AGENCY INFORMATION",null,null,null,null,null,null,null,null,null,null,null,null,"Application Date",{"$f":"IF(D11<>\"\",D11,\"\")","v":""},null,null,null,"Municipality"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Agency Legal Name",{"$f":"D15","v":0},null,null,null,"Bonfield"]
[null,null,"Agency Legal Name :",null,null,null,"Agency Type :",null,null,null,null,null,null,null,null,"Agency Operating Name",0,null,null,null,"Calvin"]
[null,null,"Agency Operating Name :",null,null,null,"Auspice :",null,null,null,null,null,null,null,null,"Agency Address",0,null,null,null,"Chisholm"]
[null,null,"Address :",null,null,null,"Contact Person :",null,null,null,null,null,null,null,null,"Agency City",0,null,null,null,"East Ferris"]
[null,null,"City / Town :",null,null,null,"Position/Title :",null,null,null,null,null,null,null,null,"Agency Postal Code",0,null,null,null,"Mattawa"]
[null,null,"Postal Code :",null,null,null,"Email :",null,null,null,null,null,null,null,null,"Agency Municipality",0,null,null,null,"Mattawan"]
[null,null,"Municipality :",null,null,null,"Phone :",null,null,null,null,null,null,null,null,"Agency Type",{"$f":"H15","v":0},null,null,null,"Nipissing North"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Agency Auspice",0,null,null,null,"Nipissing South"]
[null,null,"Does your agency have a standing Purchase of Service Agreement with DNSSAB?",null,null,null,null,"YES","NO",null,null,null,null,null,null,"Agency Contact Person",{"$f":"H17","v":0},null,null,null,"North Bay"]
[null,null,"If yes, is your agency enrolled in the Canada-Wide Early Learning and Child Care ",null,null,null,null,"YES","NO",null,null,null,null,null,null,"Position/Title",{"$f":"H18","v":0},null,null,null,"Papineau-Cameron"]
[null,null,"(CWELCC) System?",null,null,null,null,null,null,null,null,null,null,null,null,"Email",{"$f":"H19","v":0},null,null,null,"South Algonquin"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Phone",{"$f":"H20","v":0},null,null,null,"Temagami"]
[null,null,{"$f":"IF(Q27=2,\"To qualify for funding, Service Providers must first have a standing service agreement with the District of Nipissing Social Services Administration Board. Please contact us via email at : csfundingrequest@dnssab.ca\",IF(Q28=2,\"To qualify for CWELCC Start-Up Grant funding, Service Providers must also have a standing CWELCC agreement with the District of Nipissing Social Services Administration Board. Please also complete the CWELCC Application form available at : \"))","v":false},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"West Nipissing"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Agreement with DNSSAB?",0,null,null,null,"Other"]
[null,null,"https://www.dnssab.ca/childrens-services/providers/guidelines-applications/cwelcc-providers/",null,null,null,null,null,null,null,null,null,null,null,null,"Enrolled in CWELCC?",0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Expansion of existing service?",0]
[null,null,"Is the proposed expansion planned for an existing licensed child care service?",null,null,null,null,"YES","NO",null,null,null,null,null,null,"More than one site?",0]
[null,null,"Is the proposed expansion planned for more than one site?",null,null,null,null,"YES","NO",null,null,null,null,null,null,"Program Site Name",{"$f":"D35","v":0}]
[null,null,{"$f":"IF(Q30=2, \"Please complete Sections 2-5 below and enclosed Centre-Based Operating Budget.\", IF(Q30=1,\"Please complete a separate Intent to Expand Services form and Centre-Based Operating Budget for each site.\",\"\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,"Program Address",{"$f":"D36","v":0}]
[null,null,"SECTION 2 : PROGRAM INFORMATION",null,null,null,null,null,null,null,null,null,null,null,null,"Program City",{"$f":"D37","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Program Postal Code",{"$f":"D38","v":0}]
[null,null,"Child Care Site Name:",null,null,null,"Licence Number:",null,null,null,null,null,null,null,null,"Program Municipality",{"$f":"D39","v":0}]
[null,null,"Address :",null,null,null,null,null,null,null,null,null,null,null,null,"Program Licence Number",{"$f":"H35","v":0}]
[null,null,"City / Town :",null,null,null,"Type of Care :","Centre-Based Child Care",null,null,null,null,null,null,null,"Indigenous",false]
[null,null,"Postal Code :",null,null,null,null,null,null,null,null,null,null,null,null,"Francophone",false]
[null,null,"Municipality :",null,null,null,"Program Type :","Indigenous (off-reserve)",null,null,null,null,null,null,null,"Infant - Current Lic. Cap.",{"$f":"D59","v":0}]
[null,null,null,null,null,null,"(if applicable)","Francophone",null,null,null,null,null,null,null,"Infant - New Lic. Cap.",{"$f":"E59","v":0}]
[null,null,"PROPOSED EXPANSION OF SERVICES",null,null,null,null,null,null,null,null,null,null,null,null,"Infant - Op. Cap.",{"$f":"F59","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Infant - Current # Rooms",{"$f":"H59","v":0}]
[null,null,"IMPORTANT : Start-up grants must fund projects required for child care facilities to be created, retrofitted, renovated, ",null,null,null,null,null,null,null,null,null,null,null,null,"Infant - New # Rooms",{"$f":"I59","v":0}]
[null,null,"and/or expanded to accommodate a maximum group size for each grouping for children under the age of six.",null,null,null,null,null,null,null,null,null,null,null,null,"Toddler - Current Lic. Cap.",{"$f":"D60","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Toddler - New Lic. Cap.",{"$f":"E60","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Toddler - Op. Cap.",{"$f":"F60","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Toddler - Current # Rooms",{"$f":"H60","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Toddler - New # Rooms",{"$f":"I60","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Preschool - Current Lic. Cap.",{"$f":"D61","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Preschool - New Lic. Cap.",{"$f":"E61","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Preschool - Op. Cap.",{"$f":"F61","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Preschool - Current # Rooms",{"$f":"H61","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Preschool - New # Rooms",{"$f":"I61","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Family Grouping - Current Lic. Cap.",{"$f":"D62","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Family Grouping - New Lic. Cap.",{"$f":"E62","v":0}]
[null,null,"Proposed Expansion - Details",null,null,null,null,null,null,null,null,null,null,null,null,"Family Grouping - Op. Cap.",{"$f":"F62","v":0}]
[null,null,null,"Licensed Capacity",null,"Operating Capacity*",null,"Number of Rooms",null,null,null,null,null,null,null,"Family Grouping - Current # Rooms",{"$f":"H62","v":0}]
[null,null,"Centre-Based Services","Current","New Spaces","Current",null,"Current","New Room(s)",null,null,null,null,null,null,"Family Grouping - New # Rooms",{"$f":"I62","v":0}]
[null,null,"Infant (up to 18 months)",null,null,null,null,null,null,null,null,null,null,null,null,"Anticipated date of creation",{"$f":"IF(E66<>\"\",E66,\"\")","v":""}]
[null,null,"Toddler (19 up to 30 months)",null,null,null,null,null,null,null,null,null,null,null,null,"Needs Analysis?",0]
[null,null,"Preschool (2.5 up to 4 years)",null,null,null,null,null,null,null,null,null,null,null,null,"Needs Analysis Details",{"$f":"C71","v":0}]
[null,null,"Family Age Grouping",null,null,null,null,null,null,null,null,null,null,null,null,"Low-income",false]
[null,null,"TOTAL",{"$f":"SUM(D59:D62)","v":0},{"$f":"SUM(E59:E62)","v":0},{"$f":"SUM(F59:F62)","v":0},null,{"$f":"SUM(H59:H62)","v":0},{"$f":"SUM(I59:I62)","v":0},null,null,null,null,null,null,"Special Needs",false]
[null,null,"* Operating capacity is defined as the number of spaces that can be filled based on the current staffing.",null,null,null,null,null,null,null,null,null,null,null,null,"Indigenous",false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Black and other racialized",false]
[null,null,{"$f":"\"Anticipated date of creation of the \"&VALUE(E63)&\" new spaces\"","v":"Anticipated date of creation of the 0 new spaces"},null,null,null,null,null,null,null,null,null,null,null,null,"Children of newcomers",false]
[null,null,"(must be within 2 years of application date)",null,null,null,null,null,null,null,null,null,null,null,null,"Francophone",false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Targeted Group Details",{"$f":"C86","v":0}]
[null,null,"Has your agency conducted a needs analysis related to the proposed expansion?",null,null,null,null,"YES","NO",null,null,null,null,null,null,"Support Labour Market Details",{"$f":"C95","v":0}]
[null,null,"Please describe the steps taken (i.e. community survey, consultations, waitlist data, etc.).",null,null,null,null,null,null,null,null,null,null,null,null,"Outdoor play space",0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Required Square Footage",{"$f":"H110","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Play materials, equipment",{"$f":"I116","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Non-consumable supplies",{"$f":"I119","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Renovations, additions, repairs",{"$f":"I123","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Outdoor play space",{"$f":"I126","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Leasehold improvements",{"$f":"I129","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other funding sources?",1]
[null,null,"Please provide a brief description of how this proposed expansion will create additional licensed full day child care spaces",null,null,null,null,null,null,null,null,null,null,null,null,"Other funding - amount",{"$f":"I137","v":0}]
[null,null,"for one or more of the following groups.  Please check all that apply.",null,null,null,null,null,null,null,null,null,null,null,null,"Other funding Sources Details",{"$f":"C139","v":0}]
[null,null,"children living in low-income families",null,null,null,null,null,null,null,null,null,null,null,null,"Item 1",{"$f":"IF(C148<>\"\",C148,\"\")","v":""}]
[null,null,"children with special needs",null,null,null,null,null,null,null,null,null,null,null,null,"Item 1 - Date",{"$f":"IF(E148<>\"\", E148, \"\")","v":""}]
[null,null,"Indigenous children",null,null,null,null,null,null,null,null,null,null,null,null,"Item 1 - Amount",{"$f":"G148","v":0}]
[null,null,"Black and other racialized children",null,null,null,null,null,null,null,null,null,null,null,null,"Item 2",{"$f":"IF(C149<>\"\",C149,\"\")","v":""}]
[null,null,"children of newcomers to Canada",null,null,null,null,null,null,null,null,null,null,null,null,"Item 2 - Date",{"$f":"IF(E149<>\"\",E149,\"\")","v":""}]
[null,null,"Francophone children",null,null,null,null,null,null,null,null,null,null,null,null,"Item 2 - Amount",{"$f":"G149","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 3",{"$f":"IF(C150<>\"\",C150,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 3 - Date",{"$f":"IF(E150<>\"\",E150,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 3 - Amount",{"$f":"G150","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 4",{"$f":"IF(C151<>\"\",C151,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 4 - Date",{"$f":"IF(E151<>\"\",E151,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 4 - Amount",{"$f":"G151","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 5",{"$f":"IF(C152<>\"\",C152,\"\")","v":""}]
[null,null,"Please include a brief description of how this proposed expansion will support labour market participation,",null,null,null,null,null,null,null,null,null,null,null,null,"Item 5 - Date",{"$f":"IF(E152<>\"\",E152,\"\")","v":""}]
[null,null,"including through flexible models of child care to support parents who are occasional, part-time or shift workers?",null,null,null,null,null,null,null,null,null,null,null,null,"Item 5 - Amount",{"$f":"G152","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 6",{"$f":"IF(C153<>\"\",C153,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 6 - Date",{"$f":"IF(E153<>\"\",E153,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 6 - Amount",{"$f":"G153","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 7",{"$f":"IF(C154<>\"\",C154,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 7 - Date",{"$f":"IF(E154<>\"\",E154,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 7 - Amount",{"$f":"G154","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 8",{"$f":"IF(C155<>\"\",C155,\"\")","v":""}]
[null,null,"SECTION 3 : ESTIMATED START-UP GRANT AND ADDITIONAL FUNDING REQUIREMENTS (IF APPLICABLE)",null,null,null,null,null,null,null,null,null,null,null,null,"Item 8 - Date",{"$f":"IF(E155<>\"\",E155,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 8 - Amount",{"$f":"G155","v":0}]
[null,null,"Eligible centre-based applicants can receive a grant of up to $90 per square foot of a new licensed space with a cap of ",null,null,null,null,null,null,null,null,null,null,null,null,"Item 9",{"$f":"IF(C156<>\"\",C156,\"\")","v":""}]
[null,null,"$350,000 for every 50 child care spaces created.",null,null,null,null,null,null,null,null,null,null,null,null,"Item 9 - Date",{"$f":"IF(E156<>\"\",E156,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 9 - Amount",{"$f":"G156","v":0}]
[null,null,"Will any changes to outdoor space be required as a result of the expansion of child",null,null,null,null,"YES","NO",null,null,null,null,null,null,"Item 10",{"$f":"IF(C157<>\"\",C157,\"\")","v":""}]
[null,null,"care spaces in the centre to continue to comply with Section 24 of O.Reg. 137/15?",null,null,null,null,null,null,null,null,null,null,null,null,"Item 10 - Date",{"$f":"IF(E157<>\"\",E157,\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Item 10 - Amount",{"$f":"G157","v":0}]
[null,null,{"$f":"\"Total indoor square footage required for \"&(E63)&\" new spaces*\"","v":"Total indoor square footage required for 0 new spaces*"},null,null,null,null,null,null,null,null,null,null,null,null,"Additional DNSSAB Funding?",0]
[null,null,"* Please be sure to only include indoor square footage required as outlined in Section 16 of O.Reg. 137/15 under the Child Care and Early Years Act, 2014.",null,null,null,null,null,null,null,null,null,null,null,null,"General Operating",false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fee Subsidy",false]
[null,null,"Description of Eligible Expenses (select all that apply and enter amount requested) :",null,null,null,null,null,null,null,null,null,null,null,null,"Other",false]
[null,null,"($90/ sq. foot to a maximum of $350,000/50 spaces)",null,null,null,null,null,null,null,null,null,null,null,null,"Other - Details",{"$f":"$E$164","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Expansion Challenges?",0]
[null,null,"Play materials, equipment, and furnishings (both indoors and outdoors) as outlined in ",null,null,null,null,null,0,null,null,null,null,null,null,"Challenges and solution details",{"$f":"Details_Challenges","v":0}]
[null,null,"Section 19 of O.Reg. 137/15 under the Child Care and Early Years Act, 2014.",null,null,null,null,null,null,null,null,null,null,null,null,"Viability/Feasibility Details",{"$f":"C180","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Authorized Signing Officer",{"$f":"IF(D235<>\"\",D235,\"\")","v":""}]
[null,null,"Non-consumable supplies/equipment to support the ongoing regular operations of",null,null,null,null,null,0,null,null,null,null,null,null,"Title",{"$f":"IF(D236<>\"\",D236,\"\")","v":""},null,null,null,null,null,null,null,"would need additional space for play-based materials,"]
[null,null,"the child care program (e.g. appliances, IT, supplies to support learning environments",null,null,null,null,null,null,null,null,null,null,null,null,"Date",{"$f":"IF(D237<>\"\",D237,\"\")","v":""},null,null,null,null,null,null,null,"shelving, counters, storage, water tables, tables, chairs,"]
[null,null,"whild adhering to health and safety requirements).",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"washrooms, etc …"]
[]
[null,null,"Renovations, additions or repairs to licensed full day child care facilities or potential",null,null,null,null,null,0,null,null,null,null,null,null,"Unobstructed floor space required as per CCEYA",null,null,null,{"$f":"ROUND(4*10.7639104,0)&\" square feet/space\"","v":"43 square feet/space"},null,null,null,null,"to account for additional space required over and above"]
[null,null,"child care facilities as approved by DNSSAB.",null,null,null,null,null,null,null,null,null,null,null,null,"Indoor","2.8 square meter",null,null,null,null,null,null,null,"unobstructed"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Outdoor","5.6 square meter (outside)"]
[null,null,"Changes to outdoor play space that are required as a result of the expansion of child",null,null,null,null,null,0]
[null,null,"care spaces in the centre so that the licensee continues to comply with section 24 of",null,null,null,null,null,null,null,null,null,null,null,null,"Taking obstructed floor space into consideration …"]
[null,null,"O.Reg. 137/15 under the Child Care and Early Years Act, 2014.",null,null,null,null,null,null,null,null,null,null,null,null,"Estimating","4 square meters/space or"]
[null,null,null,null,null,null,null,null,0]
[null,null,"Leasehold improvements."]
[]
[null,null,null,null,null,null,null,"TOTAL Amount Requested",{"$f":"SUM(I116:I131)","v":0},null,null,null,null,null,null,null,null,false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,false]
[null,null,"Is the agency seeking additional funding from other sources in order to support with ",null,null,null,null,"YES","NO"]
[null,null,"this project (i.e. provincial/federal one-time funding opportunities)?"]
[]
[null,null,"If yes, please provide amount and details :",null,null,null,null,"Amount from other sources :",0]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"Please provide project overview and corresponding funding requirements with approximate date when funding would be required."]
[null,null,"Item/Action/Milestone",null,"Approximate Date",null,"Amount ($)","Amount ($)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,{"$f":"IF(I132>0,\"TOTAL (must equal \"&DOLLAR(I132,-2)&\")\",\"TOTAL (must equal Total Amount Requested)\")","v":"TOTAL (must equal Total Amount Requested)"},{"$f":"SUM(G148:G157)","v":0}]
[]
[null,null,"Is the agency seeking additional funds from DNSSAB to support with daily operations?",null,null,null,null,"YES","NO"]
[null,null,"If yes, please check all that apply."]
[null,null,null,"General Operating"]
[null,null,null,"Fee Subsidy"]
[null,null,null,"Other :"]
[]
[null,null,"Do you anticipate facing any challenges with the proposed expansion?",null,null,null,null,"YES","NO"]
[null,null,"If yes, please describe the anticipated challenges and proposed solutions."]
[]
[]
[]
[]
[]
[]
[]
[null,null,"SECTION 4 : PROGRAM VIABILITY/FEASIBILITY "]
[]
[null,null,"Please describe the steps that your agency has taken to determine program viability/feasibility of the proposed "]
[null,null,"expansion.  "]
[null,null,"IMPORTANT : Please be sure to complete the enclosed Centre-Based Operating Budget Forecast Template."]
[]
[]
[]
[]
[]
[]
[]
[null,null,"SECTION 5 : TERMS OF APPLICATION"]
[]
[null,null,"Please read and check each box to confirm agreement and understanding for each term and condition listed below."]
[]
[null,null,"I understand that CWELCC Start-Up Grant funding applications will be considered on a case-by-case basis.  Approval"]
[null,null,"is subject to the submission of a completed CWELCC Start-up Grant application form and supporting documents, "]
[null,null,"program eligibility, availability of funding and alignment with the Nipissing District's Early Years and Child Care "]
[null,null,"Service Plan including the local directed growth plan."]
[]
[null,null,"I confirm that the Agency wishes to apply for CWELCC Start-Up Grant funding and, as such, commits to participate "]
[null,null,"in the CWELCC system for the remainder of the current CWELCC agreement (March 31, 2026)."]
[]
[null,null,"I understand that this is an application to determine eligibility for CWELCC Start-Up Grant funding and that approved \n"]
[null,null,"agencies will be required to sign an amended Purchase of Service Agreement with the DNSSAB."]
[]
[null,null,"I understand that if the agency withdraws from CWELCC or ceases their operations, DNSSAB must recover the "]
[null,null,"start-up grant funding and return to the ministry as part of regular financial reporting processes."]
[]
[null,null,"I understand that start-up grant funding would be advanced on a demonstrated cash basis and would need to be fully "]
[null,null,"expended within two years from the date the service agreement with DNSSAB is executed."]
[]
[null,null,"I understand the CWELCC Start-Up Grant funding requirements as outlined in the Ministry of Education and DNSSAB"]
[null,null,"policies and guidelines and requirements set out under O. Reg 137/15."]
[]
[null,null,"I understand that the agency must provide sufficient and detailed financial information for review in accordance with the "]
[null,null,"funding, accountability and reconciliation process as determined by DNSSAB's policies, guidelines and reporting "]
[null,null,"requirements."]
[]
[null,null,"I understand that any adjustments and recoveries of funding will be determined at the discretion of DNSSAB’s "]
[null,null,"reconciliation process, policies and in accordance to Ministry of Education guidelines."]
[]
[null,null,"I understand that agency must provide access to the agency's financial information and acknowledges that DNSSAB will"]
[null,null,"conduct random financial compliance audits each year to ensure accountability and confirm compliance with terms, "]
[null,null,"conditions, requirements, policies and guidelines."]
[]
[null,null,"I understand that the agency must adhere to all requirements as set out in applicable legislation, regulation and local "]
[null,null,"requirements as provided in the DNSSAB's policies and guidelines."]
[]
[null,null,"To be considered, completed forms and supporting document(s) must be submitted to ",null,null,null,null,"csfundingrequest@dnssab.ca"]
[]
[null,null,"CERTIFICATION"]
[]
[null,null,"As a signing authority for this agency, by signing below I attest that I understand the implications of submitting"]
[null,null,"this application.  I further attest that the information included in this application and all applicable supporting "]
[null,null,"documents is accurate at the time of submission and that any funds provided through the CWELCC Start-Up"]
[null,null,"Grant program will be used only as intended and directed by DNSSAB and the Ministry of Education."]
[null,null,"I have authority to bind the agency."]
[]
[null,null,"Authorized Signing Officer:"]
[null,null,"Title :"]
[null,null,"Date (yyyy-mm-dd) :"]
[]
[]
[null,null,"NOTICE OF THE COLLECTION OF PERSONAL INFORMATION"]
[null,null,"The District of Nipissing Social Services Administration Board collects personal information under the legal authority of"]
[null,null,"the Child Care and Early Years Act, 2014, S.O. 2014, Chapter 11, Schedule 1, s 71 (1).  The information is used to determine"]
[null,null,"eligibility for CWELCC Start-Up Grants and other child care funding opportunities where applicable (i.e. General Operating"]
[null,null,"Grant, Fee Subsidy)"]
[]
[null,null,"QUESTIONS OR INQUIRIES ABOUT THIS COLLECTION, USE OR DISCLOSURE SHOULD BE ADDRESSED TO:"]
[null,null,"District of Nipissing Social Services Administration Board - Children’s Services Department "]
[null,null,"By email:  ","csfundingrequest@dnssab.ca"]

{"sheet":"Centre-Based Operating Budg","index":3,"n_rows":79,"n_cols":9,"rows_kept":79,"cut":false,"hidden":false,"merged":[[11,5,11,6],[78,5,78,8],[14,2,14,5],[28,2,28,5],[29,2,29,5],[60,2,60,5],[61,2,61,5],[76,2,76,8],[75,10,75,11],[13,2,13,8],[64,2,74,5],[64,6,74,6],[64,7,74,7],[64,8,74,8],[63,2,63,5],[0,1,0,9],[6,2,6,4],[6,5,7,6],[7,2,7,4],[9,2,9,4]]}
[null,"LICENSED CHILD CARE OPERATING BUDGET"]
[]
[null,null,"PURPOSE:",null,null,"To better understand the site's forecast of the program's financial operation."]
[]
[null,null,"DUE DATE:",null,null,"Upon submission of the request to expand licensed child care services."]
[]
[null,null,null,null,null,"The information found in these highlighted cells are self populating"]
[]
[]
[null,null,null,null,null,"The Licensed Child Care Agency is required to complete the data in these highlighted cells."]
[]
[null,null,"Centre-Based Site Name:"]
[]
[null,null,"SITE OPERATING BUDGET FORECAST"]
[null,null,"REVENUE",null,null,null,"First Year Operating Budget ","Second Year Operating Budget ","Third Year Operating Budget "]
[null,null,null,"PARENT FEES (FEE SUBSIDY & FULL FEE)",null,null,0,0,0]
[null,null,null,"GENERAL OPERATING FUNDING (DNSSAB)",null,null,0,0,0]
[null,null,null,"WAGE ENHANCEMENT (DNSSAB)",null,null,0,0,0]
[null,null,null,"WORKFORCE STRATEGY (DNSSAB)",null,null,0,0,0]
[null,null,null,"CWELCC WORKFORCE COMPENSATION (DNSSAB)",null,null,0,0,0]
[null,null,null,"CWELCC FEE REDUCTION FUNDING (DNSSAB)",null,null,0,0,0]
[null,null,null,"PAY EQUITY (DNSSAB- if applicable)",null,null,0,0,0]
[null,null,null,"FUNDRAISING",null,null,0,0,0]
[null,null,null,"OTHER MANDATORY FEES (e.g. Registration)",null,null,0,0,0]
[null,null,null,"OTHER:",null,null,0,0,0]
[null,null,null,"OTHER:",null,null,0,0,0]
[null,null,null,"OTHER:",null,null,0,0,0]
[null,null,null,"OTHER:",null,null,0,0,0]
[null,null,"TOTAL REVENUE",null,null,null,{"$f":"SUM(G16:G28)","v":0},null,{"$f":"SUM(I16:I28)","v":0}]
[null,null,"EXPENSES",null,null,null,"First Year Operating Budget ","Second Year Operating Budget ","Third Year Operating Budget "]
[null,null,null,"SALARIES (INCLUDING WEG, PE, AND CWELCC WAGE SUPPORTS)",null,null,0,0,0]
[null,null,null,"BENEFITS (MANDATORY AND SUPPLEMENTARY)",null,null,0,0,0]
[null,null,null,"RENT/LEASE/MORTGAGE INTEREST",null,null,0,0,0]
[null,null,null,"UTILITIES (HEAT, HYDRO, WATER, PHONE, INTERNET...)",null,null,0,0,0]
[null,null,null,"INSURANCE",null,null,0,0,0]
[null,null,null,"FOOD",null,null,0,0,0]
[null,null,null,"KITCHEN MATERIALS & EQUIPMENT ",null,null,0,0,0]
[null,null,null,"PROGRAM SUPPLIES",null,null,0,0,0]
[null,null,null,"PROGRAM EQUIPMENT",null,null,0,0,0]
[null,null,null,"FIELD TRIPS",null,null,0,0,0]
[null,null,null,"BOOKEEPING / AUDITING FEES",null,null,0,0,0]
[null,null,null,"PROFESSIONAL FEES",null,null,0,0,0]
[null,null,null,"ADVERTISING",null,null,0,0,0]
[null,null,null,"INTEREST AND BANK CHARGES",null,null,0,0,0]
[null,null,null,"DEPRECIATION / AMORTIZATION",null,null,0,0,0]
[null,null,null,"FUNDRAISING",null,null,0,0,0]
[null,null,null,"PROFESSIONAL DEVELOPMENT ",null,null,0,0,0]
[null,null,null,"MEMBERSHIP / PROFESSIONAL DUES",null,null,0,0,0]
[null,null,null,"OFFICE EXPENSES",null,null,0,0,0]
[null,null,null,"REPAIRS / MAINTENANCE",null,null,0,0,0]
[null,null,null,"HEALTH & SAFETY",null,null,0,0,0]
[null,null,null,"CAPITAL EXPENDITURES",null,null,0,0,0]
[null,null,null,"TRAVEL",null,null,0,0,0]
[null,null,null,"JANITORIAL SERVICES",null,null,0,0,0]
[null,null,null,"MISCELLANEOUS",null,null,0,0,0]
[null,null,null,"VEHICLE EXPENSES",null,null,0,0,0]
[null,null,null,"OTHER:",null,null,0,0,0]
[null,null,null,"OTHER:",null,null,0,0,0]
[null,null,null,"OTHER:",null,null,0,0,0]
[null,null,null,"OTHER:",null,null,0,0,0]
[null,null,"TOTAL EXPENSES",null,null,null,{"$f":"SUM(G31:G60)","v":0},null,{"$f":"SUM(I31:I60)","v":0}]
[null,null,"TOTAL REVENUE OVER EXPENSES",null,null,null,{"$f":"SUM(G29-G61)","v":0},null,{"$f":"SUM(I29-I61)","v":0}]
[]
[null,null,"OVERALL COMMENTS",null,null,null,"FIRST YEAR COMMENTS","SECOND YEAR COMMENTS","THIRD YEAR COMMENTS"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"I HEREBY CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE, THE INFORMATION CONTAINED HEREIN AND THE ATTACHED SERVICE DATA ELEMENTS AND DEFINITIONS FORM IS TRUE, CORRECT AND AGREES WITH THE BOOKS AND RECORDS OF THE ORGANIZATION."]
[]
[null,null,"REPORT COMPLETED BY:"]