Jobs and Growth Fund – Supplemental Form

Dowload fillable PDF form here.

This supplemental form must be submitted with your online Jobs and Growth Fund Application Form. Enter the information in the space provided.

Legal name of applicant organization:

Supplemental questions

1. Does your proposed project have environmental benefits, or otherwise support the goals oftransitioning to a green economy? Examples include: projects with benefits related to renewableenergy, greening of buildings, sustainable transport, sustainable development, water or wastemanagement, etc.
   • Yes
   • No

1. If yes, please explain, and where applicable, include figures or metrics to quantify the impact: (e.g. reducing greenhouse gas emissions, adoption of clean technology, climate change adaptation projects, etc.). Maximum 2,000 characters including spaces)

2. Does your proposed project support the development or adoption of digital solutions orautomated manufacturing processes to improve productivity and/or increase efficiency?
   • Yes
   • No

1. If yes, please outline how your proposed project will leverage digital investments and/or automation to help scale-up business, enhance productivity or increase resilience. (Maximum 2,000 characters including spaces)

3. Will your project support the strengthening of sectors critical to Canada's recovery and growthand help build future resiliency (e.g., food production, medical supplies, biomanufacturing, etc.)?
   • Yes
   • No

1. If yes, please indicate the critical sector(s) and how your project will contribute to growth and long-term resiliency in Canada. (Maximum 2,000 characters including spaces)

4. Will your project support key economic sectors within your region by enhancing supply chainsand/or strengthening production capacity or capabilities?
   • Yes
   • No

1. If yes, please provide your project details and how your project outcomes align with increased sectoral sustainability and capacity building. Maximum 2,000 characters including spaces)

5. Will your proposed project foster an inclusive recovery?
   • Yes
   • No

1. If yes, please describe how your project activities and outcomes will foster an inclusive recovery by supporting one or more of the following under-represented groups: women, youth (ages 15-34), Indigenous peoples, Black communities, racialized communities, newcomers to Canada and immigrants, LGBTQ2+, and persons with disabilities, members of an official language minority communities. (Maximum 2,000 characters).

6. Has your organization experienced (or is continuing to experience) challenges due to the impacts of the COVID-19 pandemic?
   • Yes
   • No

1. If yes, please outline how your organization was impacted by the COVID-19 pandemic and describe how this project will further contribute to recovery and position your organization/community for future growth. (Maximum 2,000 characters including spaces)

7. Is your organization, its directors or officers a party to legal proceedings that may adversely affect the business?
   • Yes
   • No

1. If yes, please provide details. (Maximum 2,000 characters including spaces)

8. Are any of the activities of the proposed project expected to occur on federal lands?
   • Yes
   • No