Application for The OCASI Members Fund: Members Supporting Members 2022/2023

Eligible organizations can apply for up to $5,000

OCASI is pleased to invite eligible organizations to submit applications for funding to support initiatives and activities to increase organizational capacity.

About your Organization:

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* 1. Agency Name:

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* 2. Agency Contact Information:

Address *

Address 2

City/Town *

Province *

Postal Code *

Email Address *

Phone Number *

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* 3. Name of Executive Director:

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* 4. E-mail of Executive Director:

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* 5. Number of employees

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* 6. Number of Board members

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* 7. Has your Board of Directors approved the submission of this application?

Yes

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* 8. Name and position of Person completing the Application: (if different from Executive Director):

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* 9. E-mail address:

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* 10. Date of Incorporation:

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* 11. Incorporation Number:

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* 12. Is your agency a registered charity? (if yes, state charitable number)

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* 13. What are the main services provided by your agency? (Select all that apply)

Education/Literacy Programs

Employment Services

Francophone Services

Gender-Based Violence

Health / Mental Health

Housing / Shelters

Language Training

Legal Services

LGBTQ2S+ Specific Programs

Poverty Reduction

Recreational Activities

Refugee Resettlement

Senior Services

Services for People with in/visible Disabilities

Settlement Services

Skills Training

Social Support Services

Translation / Interpretation Services

Women's Services

Youth Services

Other (please specify)