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Community Support Program

Request for Support Application

We appreciate the effort it takes to complete this application in a manner that will assist us when reviewing your request. The committee considers the image and community profile of your organization or event when approving funding applications.

Requests up to $1,000 must be received a minimum of 4 weeks prior to the event date. 

Requests over $1,000 must be received at least 8 weeks prior to the event date.

Please review the Peninsula Co-op Funding Criteria online before completing your application: 
www.peninsulaco-op.com/community/request-for-community-support-form/

Requests for support must be submitted using this form.  
If you are providing additional information, please limit to 3 pages in total.  


Today's Date
Charitable Organization Number (if applicable)
*Name of your registered local Not-for-Profit organization:
*Contact Name
Co-op Member Number (if applicable)
*Address
*City
*Postal Code
V8V 8V8
*Phone Number(s)
(555)-555-5555
*E-mail Address
 
*Please give details about your organization: What you do, your goals, principals, how it benefits our local communities and whether or not you receive funding from any other local or national groups, charities or organizations.
*Event/project for which support is requested:
*Request value:
*Event location:
*Time
*Place & Location
*Number of people expected to attend
*Is this a first time or ongoing event/project?
*Support requested from Peninsula Co-op: (Please be specific when listing item(s) and/or funding amount.)
*How and when will Peninsula Co-op be recognized for their support?
*Is there an opportunity for any permanent recognition?

*Has your organization applied to Peninsula Co-op in prior years?

*Peninsula Co-op is owned and democratically controlled by local citizens. Does your organization support the Co-op through regular gas or food purchases?

If you have any additional documentation, please upload it here. Maximum of 2 files. 10MB limit per file. We recommend a 3 page maximum per file.
File #1
File type must be: .pdf,.doc,.docx
File #2
File type must be: .pdf,.doc,.docx
*Do you require a tent?

Please note that you may be requested to provide a project budget or organizational financial statement.

 

If you have any questions, please contact marketing@peninsulaco-op.com.

Peninsula Co-op, #1-2132 Keating X Rd. Saanichton, BC V8M 2A6
Phone: Customer Service 250.652.1188, Administration 250.652.5752 or toll free 1.877.652.5752

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