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Application Form – Caisse Alliance Fund

Application Form – Caisse Alliance Fund

Application Form

Description of the organization making the request

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Project description

Please describe the project.

Financial details of the project

Please provide the following information and add any other relevant financial details.

Amount requested from the Fund ($)

Total cost of the project ($)

Amount already raised form sources other than the Fund ($)

Have you requested funds from another Caisse Alliance branch or region?

Yes
No

Project impact

Please describe the impact of the project by describing, at a minimum, the following:

When will the project be completed (e.g., official opening on September, 2022)?

What is the project’s lifespan (e.g., the new infrastructure will have an approximate lifespan of 20 years or more)?

How many people will benefit from this project (e.g., 5,000 users per year)?

Who is the targeted market for this project (e.g., this building will be mainly used by young people aged 16 and under)?

Are there any restrictions to access the project (e.g., users must pay $5 per visit, or be a club member, etc. to access)?

What are the benefits of this project for the community (e.g., offering a new service)?

Details of the organization making the request

Please describe the structure of your organization.

Here are some examples of important information to specify: private business, non-profit organization, cooperative, municipal property, etc. Who are your members or administrators?

Visibility

Please describe the type of visibility you plan to offer the Caisse. For example, display the Caisse Alliance Fund’s logo on a permanent sign, naming a room in the name of the Caisse, etc.

Additional information