Crossroads Community Investment Fund Nomination Form 2022

We want to make our communities a better place for the people in Crossroads Country, by supporting community development and helping our communities to continue to flourish. We are small enough to care, and big enough to make a difference. This year we are giving away $2,022 to 22 non-profit organizations/community groups in Crossroads Country. What non-profit organization or community group do you believe makes an impact in your community? Nominate them for a chance to receive funding of $2,022

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* 1. Enter Your Contact Information.

Your Name

Your Email Address

Your Telephone Number

Are you a member of Crossroads Credit Union?

If so, which branch do you conduct the majority of your banking at?

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* 2. Information about the Non-Profit Organization/Community Group you would like to nominate.

Non-Profit Organization/Community Group Name *

Non-Profit Organization/Community Group Contact Person *

Non-Profit Organization/Community Group Contact Person's Telephone Number *

Non-Profit Organization/Community Group Contact Person's Email Address

What Community is this Non-Profit Organization/Community Group Based Out Of? *

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* 3. What is the purpose of the Non-Profit Organization/Community Group?

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* 4. What category does the non-profit organization/community group fall under?

Youth

Education

Community, Economic, Co-operative or Environmental Development

Health & Support Services

Arts & Culture

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* 5. Explain how this non-profit organization or community group makes an impact in Crossroads Country and why you are nominating them or email us a short video clip to marketing@crossroadscu.ca.

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* 6. How did you hear about the 2022 Crossroads Community Investment Fund Allocation process?

Social Media

Website

At a Crossroads Branch

Newspaper

Community Member

Other (please specify)