HOME > Request for Support

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 $2,000 must be received a minimum of 4 weeks prior to the event date.

Requests over $2,000 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:

*Date of Event

Open the calendar popup.

Select today’s date if request is not date specific.

*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?

Yes
No

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

Yes
No

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

Yes
No

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?

no tent required10' by 10' tent20' by 20' 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