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The request must be sent to Mirego at least six (6) weeks before the date a reply is expected. Foresee within four (4) to six (6) weeks before receiving an answer.

Obligations

Mirego may use the name of an organization to demonstrate its contribution to the community in its communication activities.

For environmental protection reasons, only requests sent using the online form will be accepted.

Type of Organization

Are you a non-profit organization registered with the Canada Revenue Agency?

Yes No

Charitable organization’s registration number

Please note that any unregistered organization must provide proof of its relevance and credibility (business plan, references, budget, etc.).

Organization Information

Organization Name

Contact Person Name

Contact Person Title

Email

Phone Number

Mailing Address

Organization Website

What main cause does your organization support?

Do you have any recent audited financial statements?

Yes No

Please note that organizations that don’t have financial statements will be asked for proof of a stable financial situation (budget).

Project Information

Type of assistance requested Please select Advice: technology Advice: strategy Application development Web development

Briefly describe the project that you are requesting support for, including objectives and timelines (200 words max)

Explain how your project will bring long-term change to your community (200 words max)

Tell us about what makes your project innovative (200 words max)

Describe how Mirego can assist you with your project, specifying the amount requested or the type of service or materials needed

Describe how will you evaluate if your project has achieved its goal (200 words max)

Describe how Mirego can assist you with your project, specifying the type of service needed.

Describe what activity sector is targeted by your project.

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