DONATION REQUEST FORM

Donation Request Form

To be considered for a First CU donation, please complete the form below.

Donations Criteria:
·Applicants must be First CU members in good standing for the period of one year or more.
·Applicants must be community-based/volunteer-run groups OR registered non-profit or charitable societies.

·Preference is given to applicants whose work is aligned with our areas of focus; Diversity, Equity & Inclusion; Environmental Sustainability; and Local Economic Development.

Ineligible Requests:
·Requests for events or initiatives outside First Credit Union service areas (Bowen Island, Texada Island, Hornby Island, Powell River, Union Bay, Bowser, Courtenay, and Cumberland).

·Requests where only one or a few individuals benefit.
·Requests for donations specifically for travel.
·Requests where the primary purpose of the donation is to promote a religious or political view.
·Requests where the expectation of the donation is reoccurring or for operational costs.
·Requests where the funds are requested payable to an individual (i.e., a payment cannot be made to an individual only to a community or business account)

Organization Details

Name of Organization:*

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is this group or organization a member of First Credit Union? (Only members in good standing for a minimum of one year will be considered)*

YesNo

Please specify which branch:*

Contact Person

First name:*

Last name:*

Phone number:

E-mail:*

Dontaion Request Details

When is requested donation needed?*

Date

Detailed description of donation request.*

Requested amount or item (e.g., dollar value requested or Community Event Tents, gift baskets or FCU swag for giveaways):*

It's important our members can see the impact that their First Credit Union has in the community. With that in mind we ask donation recipients to extend a "thank you" by way of a tagged post on social media platform, website mention and/or appropriate printed or electronic promotional materials. Please provide a brief confirmation of how First Credit Union will be recognized for this donation. If you have questions about what would be appropriate for your group/event/project don't hesitate to be in touch at community@firstcu.ca*

If you have supplementary material, please upload here.

Please list the First Credit Union account information below. I.e., Member number (xxxxxx), account type (chequing, savings, etc) and account sub if applicable (x). This is where the donation will be deposited should the request be approved. *

Account Number

Dollar Value Given:

Donation (Other):

Date Approved:

Approving Employee:

GL

Branch

For internal use