100%


Form of interest to collaborate

To indicate your interest in collaborating with Centraide of Greater Montreal, please complete the fields below.

The information collected through this form is required by Centraide to process your request (download, registration, subscription, information request) and to follow up on it. Your information will be communicated to our subcontractors and partners to whom it is necessary to communicate it for these purposes, and according to your type of request, which may be located outside Quebec. You have the right to access and rectify your personal information, and you may withdraw your consent at any time. By providing your information on this form, you acknowledge that you have consulted Centraide of Greater Montreal’s privacy policy: https://www.centraide-mtl.org/en/privacy-policy.

Questions marked with * are mandatory.
Agency information

Agency name
Québec Enterprise Number (NEQ) from the Québec Enterprise Register (if your agency has one)
Canada Revenue Agency charity registration number (if
your agency has one), e.g. 123456789-RR-0001

Agency's mailing address
Contact person

First name
Last name
Position
Email
Agency’s territory according to our classification
Populations supported by the agency (maximum 3 answers) 
Request of support

Which of the following issues would you like support from Centraide ofGreater Montreal? 
(maximum 3 answers)
What type of support do you need from Centraide of Greater Montreal?
Requested amount ($)?
Please submit the following documents:

  • Activity report or descriptive summary of your actions
Financial report or statements
List of members of your board of directors
Powered by QuestionPro