Required fields are marked with asterisks (*)

Recognition as a Not For Profit Organization (NPO) Application

*Knowingly providing false information on this registration form may result in the cancellation and retraction of any form of support from the City of Clarence-Rockland

Name of Organization:

Contact Person:

Title/Position within Organization:

Phone Number:

Email:

Website or social media:

Address (Head Office):

Is your organization recognized as a charity by the Government?

Yes

Please describe, in detail, the nature of your organization (ex.: mandate, mission, responsibility, etc.):

Please describe the kind of event you organize, if any (ex.: frequency, target audience, etc.):

Please describe how recognition as a NPO will help you to achieve your goals/mission:

What form(s) of support will be most useful to your organization?

Preferred rental rates

Equipment loan

Technical support

Financial support

The organization/group agrees to:

Notify the City of Clarence-Rockland if there are changes to the information provided above (ex, office, address, etc..) or if the organization/group stops its activities;
Use the advantages provided to itself as a NPO to provide a service to the community;
Not to use the support provided by the City for the exclusive benefit of the organization’s members;
Submit to the City of Clarence-Rockland financial activity reports pertaining to the form of support provided, as requested by the City;
Place the City of Clarence-Rockland's logo on all promotional materials related to the activities for which support has been received.

Declaration Checkbox:

I am authorized to act on behalf of the organization and confirm that the information on this form is complete and accurate.

Signature of Applicant

Clear

Signing Date:

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Recognition as a Not For Profit Organization (NPO) Application

The organization/group agrees to:

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