Charity Application Form

Each yearthe Peterborough Pop Ensemble selects two (2) charities to support with a portion of the proceeds from its concerts.The information provided in this application will assist us in our selection.

Please complete all sections of this form. Once complete, save the file and email it toThe Peterborough Pop Ensemble Business Manager, Susan Dunkley:

Submission date: May 1, 2017

1. Charity Information
Name of Organization
Contact Person (name and title)
Address
Postal Code
Phone Number
Fax Number
Email Address
Website
Twitter Handle
Facebook Link
2. Please provide your organization’s Mission Statement.
3. What does this charity do? Please provide a brief description of its work and achievements.
4. How will the donated funds be used?
5. How would the selection of your organization as a charity of choice raise your visibility in the community?
6. Please answer the following questions:
If selected, will your Executive Director or an appropriate representative of your organization attend the concert to speak to the audience following intermission? / YES NO
Has the organization been informed that a member of the Peterborough Pop Ensemble Board may be in contact for more information and/or to notify the organization of successful selection? / YES NO
Are you willing to support the Peterborough Pop Ensemble’s concert through inclusion in your Newsletter, on your website, Facebook site, Twitter account and by distributing the concert information via an email blast? / YES NO
Is this organization a registered not-for-profit charity which is able to provide tax receipts? / YES NO
7. You are invited to include any other information about your organization which you feel would be beneficial. Please enter the information below or simply attach the documents when you submit the application.

If selected, the charity agrees to:

  • Have a promotional photograph taken with the Peterborough Pop Ensemble;
  • Provide a quote for use in a press release;
  • Set up a display in the lobby of the venue to provide information about the charity;
  • Arrange to have a representative present at the display table
  • Promote and assist in the sales of tickets to the concert event.

If you have any further questions or require assistance to complete this form, please contact our Business Manager at

Thank you for nominating your organization to be our charity of choice for 2016-2017.

Barbara Monahan, Artistic Director

Peterborough Pop Ensemble Board of Directors