Covid-19 Community Response Fund Expression of Interest * Require fields Contact First Name * Contact Last Name * Name of Organization * CRA Registered Charity Number * Address * City * Postal Code * Email * May we add your Email Address to our mailing list * Yes No Phone * Website (You must include: http://) * Name of project * What is the purpose of your funding request? (75 words or less) * Is your request for operational support or direct support to your client base? (75 words or less) * What percentage of the grant request is for the benefit of Port Moody residents ? (75 words or less) * Estimated number of people that will benefit * Total budget for project: Do you have other sources of funding? (e.g. Foundations, United Way, Red Cross ) * Amount secured from Other Sources * Grant Request (The Foundation will consider requests of $250-$5000) *
