RBC BARRIER BUSTER GRANTS PROGRAM APPLICATION FORM

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

PART 1: ORGANIZATION & CONTACT INFORMATION

If you have any questions, need assistance while using this application or require an alternative format, please reach out to our support team at access@rickhansen.com

Organization Information

Organization Legal Name

Select one option that indicates your organization’s legal status

The Applicant is ineligible and can not proceed.

CRA Registration Number

A registration number is 15 digits, issued by the Canada Revenue Agency (for example, 123456789 RR 0001).

Upload your organization’s Certificate of Incorporation.

Address

Street Address

City

Province/Territory

Postal Code(X1XX1X)

Website

Mission & Activities

Describe your organization’s mission and core activities. (Up to 150 words)

Social Media

Provide your organization's active social media accounts below.

Twitter/X

Facebook

Instagram

YouTube

Contact Information

Primary Contact

Provide the details of the person responsible for the grant application. This person will receive all correspondence.

First Name

Last Name

Position Title

Phone Number

Preferred Language of Correspondence:

Secondary Contact

Provide details of a second person that can be contacted if we cannot reach the primary contact.

First Name

Last Name

Position Title

Phone Number

Preferred Language of Correspondence:

PART 2: ACCESSIBILITY INFRASTRUCTURE PROJECT

If you have any questions, need assistance while using this application or require an alternative format, please reach out to our support team at access@rickhansen.com

Project Name

Provide a short, descriptive name for your RBC Barrier Buster Grants Program

Project.Note: If your application is successful, this name may appear on the RHF’s website. Choose a name that reflects the nature your project. Example: “ABC Community Park’s Accessible Playspace”

Location

Is the location of the Accessibility Infrastructure Project the same as your Organization Address?

If No: Where will your Accessibility Infrastructure Project be located?

Name (i.e. “ABC Community Park”)

Street Address

City

Province/Territory

Postal Code(X1XX1X)

Property Ownership. Select one option that indicates your organization’s relationship to the Accessibility Infrastructure Project site

Timeline

Accessibility Infrastructure Project Start Date

Accessibility Infrastructure Project End Date

Note: The Accessibility Infrastructure Project must be completed by January 31, 2027.

Project Description

Describe your proposed Accessibility Infrastructure Project. (Up to 300 words)

Include:

- Specific barriers the project will address

- How the solution will result in permanent, tangible improvements

- Confirmation that the project meets the minimum requirements of CSA/ASC B651:23 Accessible design for the built environment, supporting meaningful access as per the Rick Hansen Foundation Accessibility Certification™ (RHFAC).

Impact

How will this project reduce barriers and improve accessibility and inclusion for people with disabilities? (Up to 150 words)

What impact will this project have on the broader community? Include relevant statistics where possible. (Up to 150 words)

Upload a letter of support from a community organization or member that can address the project and its benefits.

Organizational Capacity & Partnerships

Describe the skills, experience, and resources your organization brings to this project. List any partners and their contribution. (Up to 150 words)

How have people with disabilities been consulted on shaping this project? (Up to 150 words)

Budget

Please provide budget details for your Accessibility Infrastructure Project.

Total Project Cost

RBC Barrier Buster Grants Program Amount Requested (Maximum: $40,000)

Budget Template: Upload your completed budget using the Accessibility Infrastructure Project Budget Template.

High-Cost Items: Have you included any budget items over $10,000?

If Yes, provide a supplier quote for each item over $10,000.

Professional Consultation Expenses: Do professional consultation expenses exceed 20% of the grant amount requested?

Plaque Requirement

Grant recipients must install a plaque provided by RHF to recognize the Accessibility Improvement Project and its impact.

My organization agrees to install an RHF provided plaque at the project site. My organization is responsible for providing accurate plaque information, installation, and installation related costs.

PART 3: COMMUNITY ENGAGEMENT EVENT

If you have any questions, need assistance while using this application or require an alternative format, please reach out to our support team at access@rickhansen.com

Recipients of an RBC Barrier Buster Grant are required to hold a Community Engagement Event to highlight their completed Accessibility Infrastructure Project and promote access and inclusion. Please provide information in this section.

Location

Is the location of the Community Engagement Event the same as your Accessibility Infrastructure Project site?

If No, where will your Community Engagement Event take place?

Location Name E.g., Name of the park, school, community centre etc.

Street Address

Province/Territory

City

Postal Code(X1XX1X)

Timeline

Anticipated Event Date The Community Engagement Event must take place after the Accessibility Infrastructure Project is completed and no later than June 4, 2027.

Event Description

Describe the proposed Community Engagement Event. Include the event’s purpose, format and target audience. Your event may include an accessibility open house, inclusive community fair, panel discussion, storytelling showcase, ribbon-cutting, plaque unveiling etc. (Up to 300 words)

Access & Inclusion

How will the event promote and celebrate accessibility and inclusion in your community? (Up to 150 words)

How will you include people with disabilities in the event planning and participation? (Up to 150 words)

How will you ensure the event is accessible? (Up to 150 words)

Promotion & Engagement

Estimated # of Attendees

List any notable guests or speakers you plan to invite. (Up to 150 words)

How will you involve local representatives of the RBC Barrier Buster Grants Program’s national partners? Examples include delivering remarks, taking part in ceremonial elements, plaque unveiling etc. (Up to 150 words)

Describe any photography, videography, or other media support to help capture and share the event. (Up to 150 words)

Grant recipients must provide a representative to be interviewed, a photo of their project and agree that RHF may publish and share their project story.

My organization agrees to provide a photo of our project, a representative for an interview and consent to RHF publishing and sharing our project story.

PART 4: ATTESTATION

If you have any questions, need assistance while using this application or require an alternative format, please reach out to our support team at access@rickhansen.com

A successful grant application will result in a legal agreement between the Recipient and RHF. For your application to be eligible, you must confirm all the following:

I confirm that all the information in this application and any supporting documents is true, accurate, and complete.

I confirm that I have read and understand the Terms and Conditions, Privacy Policy, and application materials, and have discussed them with the proposed Recipient. These documents contain important legal information.

I confirm I am authorized to submit this application on behalf of my organization.

I confirm I am authorized to enter agreements on behalf of my organization.

I agree to be contacted by the Rick Hansen Foundation to collect feedback to inform the program's evaluation and reporting. For questions about privacy and usage of this data, or to opt-out from being contacted for feedback collection, please contact RHF's Privacy Officer at privacy@rickhansen.com.

First Name

Last Name

Position Title

Save my progress and resume later | Resume a previously saved form

Contact Information