Criteria:
QuintEssential Credit Union is committed to Corporate
Social Responsibility, defined as our commitment to operate in an
economically, socially and environmentally sustainable manner, while
balancing the interests of members, employees and local communities.
Through our Social Responsibility activities, QuintEssential seeks to
use our resources and expertise to provide social, economic and
environmental benefits to the communities we serve and to involve our
stakeholders in the process.
While the Credit Union will consider any type of donation request where
a modest donation would play a meaningful role, the following areas
will be of most interest:
(i)
Projects or purposes that relate to serving people
in the communities served by the Credit Union.
(ii) Projects or purposes that are particularly
innovative in responding to a community need.
(iii) Projects or programs related to co-operative
development;
(iv) Projects or programs sponsored by or associated
with organizational or individual members of the Credit Union.
Appropriate publicity for donations are appreciated, but advertising
value is not a selection criterion
Membership in the Credit Union is not required, but
preference will be given to organizations with Credit Union membership.
What we will fund:
Health -programs and services supporting the health and wellbeing of
our communities
Environment - healthy and successful lives depend on a healthy
environment
Youth - programs and services that enhance quality of life for our
young people
Education - programs that support education for various segments of our
communities
What we will not fund:
For profit ventures, Operating costs, individual pursuits
Conferences, symposiums, annual meetings political or religious
organizations Service clubs or granting foundations -we prefer to
donate funds directly to not-for-profit organizations.
IMPORTANT – Priority will go to new applications.
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COMMUNITY INVOLVEMENT APPLICATION FORM
Date of application
The amount requested must be filled in
Amount requested $
Is the request date sensitive? If yes, when
CONTACT INFORMATION:
Name of Organization:
Contact Name:
Position:
Mailing Address:
Postal Code:
Email:
Telephone:
Fax:
By submitting this application, I/we guarantee that any funds donated
by QuintEssential Credit Union will be used as indicated in this
application.
Authorized Representative of Organization (please print)
Signature
TYPE OF REQUEST: What type of assistance are you
requesting? Please circle
Sponsorship
Partnership
Donation
In-kind donation
Fundraising
Other (please specify)
ORGANIZATION INFORMATION:
Is this organization registered as a non-profit?
YES
NO
Registered Charitable Tax #:
How long has it been in operation?
Is the organization currently a member of QuintEssential Credit Union?
If YES, Please provide account number
NO
Are you (Authorized Representative of Organization)currently a member
of QuintEssential Credit Union?
No
If YES, Please provide Name
and account #
Other sources of funding:
Has QuintEssential Credit Union provided funding to
your organization in the past?
YES
NO
If YES, when and what for?
Are you requesting funds for a specific event?
If YES, please specify:
Rev. January 22, 2015
YES
NO
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Are you requesting funds for a specific purpose?
If YES, please specify:
YES
NO
Period of time for which the funds are requested?
What geographic area does your organization/event
benefit?
Does a QuintEssential Credit Union employee or board
member work with your organization as an employee,
volunteer or fundraiser?
NO YES
If YES, please give the name(s) and a brief
outline of what this person does.
Does your organization pay commission for fundraising? Yes
No
What percentage of donated funds is used for administration costs such
as salaries, rent, office supplies, general overhead?
%
Other types of assistance requested:
BENEFITS TO SUPPORTING ORGANIZATIONS:
How will this benefit the Community?
How will the general public be aware of the donation
by QuintEssential Credit Union?
How do the values of your organization/event mirror those of
QuintEssential Credit Union, and our Social Responsibility program (see
below)?
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The following should be included with this application:
1. A detailed outline of your organization's mandate and goals.
2. A detailed description of the proposed project/event and how it will
be conducted including the specific purpose for the use of the
funds requested.
3. A detailed project/event budget.
4. A list of the current Board of Directors.
5. Most recent audited financial statements.
Only those applications completed in full will be
considered.
NOTE: All organizations, receiving funding are required to submit a
detailed evaluation of the funded project or event within 90 days of
completion of said project or event.
This evaluation should include the following:
1. A written report outlining progress towards objectives, attendance,
funds raised and overall outcomes. How did this make the
community a better place to live?
2.Copies of any publicity materials(advertising, posters, brochures
etc.)
3. Copies of any media coverage.
Please direct completed application package to:
Email: cgregoire@qcu.ca ( the preferred method)
or
Mail
Social Responsibility Committee
QuintEssential Credit Union
c/o Carrie Gregoire, President and
CEO 293 Sidney St
Belleville K8P 3Z4
We will contact you once the committee has made a decision.
Thank you for your interest in our credit union and
our community.
Rev. January 22, 2015
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