UWPEI COVID-19 Compassion Fund Application

Question Title

* 1. Organization Name

Question Title

* 2. Name and Title of Applicant

Question Title

* 3. Organization Street Address

Question Title

* 4. Charitable Registration Number

Question Title

* 5. Telephone

Question Title

* 6. Email Address

Question Title

* 7. What Region Do You Serve? (Select All That Apply.)

Question Title

* 8. Client Base That This Funding Will Assist

Question Title

* 9. Situation(s) and Needs This Funding Will Address

Question Title

* 10. Briefly describe how your organization will address these situation(s) and needs.  Include any existing capacity (staff, volunteers, vehicles etc.) your organization has to support your efforts.

Question Title

* 11. Amount of Funds Requested

Question Title

* 12. Budget (Include Budget Items, Anticipated Expenses and Any Description Required)

T