Connecting Neighbourhoods Across BC

Connecting neighbourhoods across BC At Island Savings, a division of First West Credit Union, we aim to help our communities thrive. Through our Simple Generosity Neighbourhood Grants, we will be gifting $100-$500 grants to support local grassroots ideas, events and initiatives focused on building stronger and more connected communities. Completed applications can be submitted: • By email: [email protected] • By mail: Attn: Jackey Zellweger, First West Credit Union, 184 Main Street, Penticton BC V2A 8G7 There’s two ways to complete this application form: 1) Answer the following questions in an email and send along with a completed and signed copy of Page 2. 2) Use the space below to answer the questions, sign and send to us by email or mail. Name of event/initiative: Date of event: Location & Community: Amount of funding requested Grants are available for $100-$500: What are your rental requirements for this idea? You may be eligible for an additional grant. i.e. Recreation Centre; tables, chairs, tents, BBQs How will this funding be used? How will you share this idea, event or initiative in your neighbourhood or community? How will this idea benefit people in your neighbourhood or community? Thank you for inspiring us! We appreciate your contributions to our communities. #SimpleGenerosity is a community initiative of: Please review and acknowledge your consent to the following: I authorize First West Credit Union to use the information and images provided to profile this idea, event or initiative on the First West websites and social media channels, should my application be successful. The legal stuff: • Grants are not to be used as personal funds. All monies will be dedicated to the specified initiative within this application. • The specified initiative in this application must be located in a community where Island Savings operates; Greater Victoria, Cowichan Valley, Ladysmith, Salt Spring and Pender Island and Nanaimo. • By submitting this Application, the Applicant gives First West Credit Union and its divisions (including Envision Financial, Enderby & District Financial, Island Savings and Valley First) the right and permission to publish his/her name and details of this application as captured for the #SimpleGenerosity campaign. • If your application is selected as a recipient, you will be contacted by a member of our Community Investment team. • The Applicant will ensure that all persons photographed by him/her during the specified initiative are informed of the nature of the dissemination of the photos to First West Credit Union for its unconditional use. • The Applicant is required to submit a completion report to First West Credit Union following the execution of the specified initiative. • If the specified initiative, once funding has been received from First West Credit Union, does not execute, the Applicant will be responsible for returning the grant funding as awarded. If this application is successful, the Applicant acknowledges and agrees to the following: • To notify First West Credit Union of any changes to the date, time and location of the initiative (as applicable). • To submit photographs or video recordings of the initiative which may be edited, altered, copied, published, republished or distributed to third parties, now and in the future, worldwide via DVDs, the internet or other public setting. The applicant waives any right he/she may have to inspect or approve the finished product where any image or likeness appears. • As applicable and available, First West Credit Union staff may wish to participate in the initiative. • First West Credit Union is entitled to all rights of ownership in connection with the use of my image and I waive all rights I have related to that image. • I waive any right to receive royalties or other compensation arising from or related to the use of my image. • First West Credit Union may use my name and the details of the specified initiative for any purpose in connection with the use of my image, including on printed material, video, streaming media or broadcast. By signing this form, I acknowledge that I have completely read and fully understand this release and agree to be bound by its terms and conditions. Applicant information Your name / contact details (phone, email, address) Applicant Signature Date application submitted: Due to the large volume of submissions, only those selected will be contacted. Page | 2 .

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