Coastal Community Credit Union Application for Donation Or Sponsorship

Coastal Community Credit Union Application for Donation or Sponsorship

Prior to completing this application form, please review our funding guidelines at cccu.ca. To ensure your request is reviewed in a timely manner, please complete all forms on this application. In addition, please note the timelines for each of our funding programs explained in this application.

Organization Name: ______

Charitable/BC Society Registration Number (if applicable):

Lead Contact and Title:

Phone: ______E-Mail: ______Website:

Mailing Address: ______

Please indicate the Coastal Community Region that your organization serves.

Check all that apply (if choosing more than one be sure to fill in the percent of direct impact by % in each of the regions).

REGION / DIRECT BENEFIT TO REGION -%
 South Region (Chemainus, Duncan and Victoria)
 Nanaimo & Gabriola Region (Nanaimo and Gabriola Island)
 West Coast Region (Port Alberni, Tofino and Ucluelet)
 Oceanside Region (Nanoose, Parksville and Qualicum)
 Comox Valley Region (Comox, Courtenay)
 Campbell River Region (Campbell River)
 Discovery Islands (Cortes Island and Quadra Island)
 North Island Region (Alert Bay, Port McNeill, Port Hardy and Sointula)

Name of Project/Initiative to be funded: ______

Date of Initiative:

Please specify the kind of support you are applying for from Coastal Community:

 Financial Value: $ ______

 In Kind Value: $ ______Description of In Kind Request:

What is the total cost of your initiative? $ ______

Date Funds are Required: ______

Does your organization have a membership with Coastal Community?

 No  Yes If yes, which branch do you deal with? ______

Will Coastal Community be the exclusive Financial Institution supporter?  Yes  No

Brief description of your initiative:

Has Coastal Community funded your organization in the past?

If yes, please describe the project, program or event and the amount of funding.

 Coastal Community has not funded this organization in the past.

PROJECT DETAILS:

Which of these areas does this request address and how? (Check all that apply*)

 Arts and Culture  Education  Health

 Community Service  Environment  Sports and Recreation

 Economic Development  Youth

*If this request does not address at least one of our priority areas please explain any fit or connection that you think is important for us to be aware of.

How will the funding be used?

Are there specific sponsorship levels with different levels of recognition with each? If yes, please provide further details.

Who will the funding benefit?

Describe the populations that will be directly and positively impacted as a result of this support.

Are there other groups and/or business funding this initiative?

If yes, please provide further details including contribution amount and commitment status.

Please detail any past and current involvement from Coastal Community employees with your organization.

Please give an example of how you have successfully engaged corporate volunteers and describe any possible involvement by Coastal Community employees with this initiative.

Please detail opportunities that you see (both ‘grassroots’ and ‘skills based’) for engaging Coastal Community employees as volunteers in the future apart from this initiative.

What opportunities do you see for returning value to Coastal Community’s partnership with this project?

(Examples: Visibility, PR opportunities, Speaking Opportunities, On-Site Recognition, Advertising/Promotions, other Benefits)

How are you planning to measure the success of this initiative?

Feel free to include attachments and supplemental material with your application but please understand, with the volume of requests we receive, we focus heavily on the applications and only consult the attachments when we feel the need.

Check carefully to make sure you have answered all the questions and then email your FULLY COMPLETED application to .

If you are unable to submit your application electronically, you can drop it off at your nearest Coastal Community location, fax it to 250.741.3223 or mail your application to:

Coastal Community Credit Union

Community Investment Department

#21-13 Victoria Crescent

Nanaimo B.C. V9R 5B9

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