Just Energy Online Donation Request Questionnaire
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4ONLINE DONATION REQUEST QUESTIONNAIRE
Please complete all questions in this Donation Request Form.
Please note that an incomplete form will not be considered. If a field is not applicable, please indicate “N/A”.
SECTION 1
CONTACT INFORMATION
Name:
Title:
Email Address:
Street Address:
Suite#:
City:
, STATE:
, ZIP:
Has your organization previously received funding from Just Energy? If so, what year(s)
Yes
No
did you receive funding and what was the amount?
Yes
No
Do you know of any Just Energy employees active in your organization?
Yes
No
Have you spoken to anyone at Just Energy about this application?
How did you hear about us? _________________________________________________________________________________
Charity or organization being supported:
Charity registration number:
Scope of organization :
National
Local
Years in existence :
Website(s):
SECTION 2:
ORGANIZATION PROFILE
Please provide a brief history of your organization, focusing on its purpose.
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Parent category: Business