Van Tel/Safeway
Credit Union Legacy Fund
The goal of the Van Tel/Safeway Credit Union Legacy Fund is to stimulate volunteerism while
promoting community involvement for the employees, retirees, and family members within our
Bond. Our current bond members include TELUS, Safeway, Kruger Products (Scott Paper),
Pacific Newspaper Group (Vancouver Sun & The Province), and/or one of their affiliated
companies and unions.
The Van Tel/Safeway Credit Union Legacy Fund administered by Vancity Community
Foundation, provides grants of up to $5000 to charitable organizations in support of the
following focus areas:
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Youth
Community enhancement
Crime prevention
Environment
Priorities for granting include a direct bond affiliation (although not mandatory) towards project
funding (not ongoing operations), that demonstrate a legacy and/or tangible benefit to
community. If you would like more information about our funding guidelines, they can be found
on our website.
Please ensure you have the latest version of Adobe installed (for free) on your computer if you
wish to fill out this form electronically. Download now.
If your organization wishes to apply for funding, please forward the completed application
package to:
Van Tel/Safeway Credit Union Legacy Fund
c/o Vancity Community Foundation
810 - 815 West Hastings
Vancouver, BC V6C 1B4
Phone: 604.877.6584
Email: jacqueline_dagg@vancity.com
Fax: 604.709.6909
Application deadlines are May 31 and October 31 each year.
Please find the application form on pages 2-4 of this document. Please use the space allocated
to provide your information and attach documents as necessary. If you have any questions
during this application process please contact Jacqueline Dagg at the Vancity Community
Foundation: Jacqueline_dagg@vancity.com or 604.877.6584.
Van Tel/Safeway
Credit Union Legacy Fund
Organization Information:
Legal name of Organization: _____________________________________________________
Street address: _______________________________________________________________
City: ______________________________________ Postal Code: ______________________
Name of contact person: ________________________________________________________
Title: ________________________________________________________________________
Phone number: _____________________ Charitable Registration #: _____________________
Name(s) of Bond Affiliates, their organization, and their relationship to you:
Name
Organization
Relationship
Tell us a little about your organization. This is important as it gives us a clear sense of what
the organization is about. You could include the Mission Statement, mandate, goals and
operating principles.
Project Information:
Van Tel/Safeway
Credit Union Legacy Fund
Project Information:
Project Name: ________________________________________________________________
Project start/end date: __________________________________________________________
Grant amount requested: _______________________________________________________
Focus areas:
Youth
Community Enhancement
Crime Prevention
Environment
Purpose of the Project (outline goals):
How does this project relate to the overall purpose and priorities of your organization?
Van Tel/Safeway
Credit Union Legacy Fund
How will your organization evaluate the success of this project?
If this is an ongoing project/program, how will its viability be maintained in the long
term?
Have you approached other groups for support? If Yes - list and indicate status of your
request. If No, are you planning to approach other groups? List who and when.
How did you hear about us?
Attach copies of the following:
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income and expense budget for project (maximum 2 pages )
most recent audited financial statements
current annual report
I certify that the above information is accurate:
Signature
Title
Date