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Community Support Program

Request for Support Application

Peninsula Co-op is proud to support local community initiatives that contribute positively to the communities in which we do business. Although our funds are limited, we try to assist as many organizations as possible.

Peninsula Co-op is owned and democratically controlled by local citizens. It is because of the patronage of our members that we are able to give back to our community. As such, we kindly require that the applicant and/or organization seeking support hold an active Peninsula Co-op membership.

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

Requests in excess of $2,000 – must be received a minimum of 8 weeks prior to 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

*Peninsula Co-op Member Number

*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

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