Community Project Fund Request Form

Project/Activity Request Title

Title of the Community Project Fund Project

Is this request for our Community Project Fund?

If YES, you MUST attach the proper application forms, found on the Donation Website

Yes

Tell us a bit about your Project/Activity

Website

Requested By (Name)

Requested By (Email)

Requested By (Phone Number)

Phone

Are you a Centerra Employee?

Yes

Amount Requested

Multi Year?

Multi-year funding requests will require further discussion with the Centerra team

Yes

Date Requested

mm/dd/yyyy

Date of Project/Activity

mm/dd/yyyy

Has Centerra Contributed in the Past?

Yes

Brand visibility opportunities for Centerra?

i.e. Logo placement, Sponsor recognition, Banners, etc.

Additional Information you would like us to know?

File Upload

Community Project Fund Applicants: Please include a PDF copy of your Community Project Fund application and budget.

Drop your files here

Send me a copy of my responses

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