New Membership Form 2022-2023

Application Form

2022-2023 New membership
1. Organization Information
Name of organization *

Full name Acronym (if any)
General E-mail *
example@example.com
Location (if virtual, please indicate where you are registered) *

Street Address Line 2

City State / Province
2. Persons designated for regular liaison with Cooperation Canada
Name of Executive Director/CEO *

First Name Last Name
Name of Contact Person (if other than ED/CEO)

First Name Last Name
Contact Person's Position
3. Objectives/Activities
Please tell us about your main objectives and major activities *
4. Nature of your organization

Having charitable status is NOT a condition of membership, information is requested only if applicable.
Our organization is a Canadian non-profit *

Yes No
Has your organization been based in Canada for over two years? *

Yes No
Our organization is registered as a charitable organization

Yes No
If you have a charitable number, please add it here (it is not a condition to obtain a membership at Cooperation Canada)
6. Why do you want to join Cooperation Canada and what would your organization bring to our coalition?
7. Two Supporting Members for Your Application
The following two current member organizations of Cooperation Canada will support our membership application. (If you haven't already, please send them this form to fill - their answers will be sent directly to the Senior Manager - Member Relations at Cooperation Canada.
Supporting Organization A
Supporting Organization B
Please upload the two letters below

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8. Code of Ethics
In becoming a member of Cooperation Canada, we agree to abide by the Cooperation Canada Code of Ethics and to promote ethical behaviour within our organization. We commit to completing the Cooperation Canada Self Certification Assessment within one year, and to work in good faith toward reaching compliance as soon as feasible, but within three years at the most.
We agree to the above statement
How will you adhere to our Code of Ethics within the next 3 years? What could that look like for your organization?
9. Information on the Cooperation Canada Membership Fees Structure
Cooperation Canada membership dues are calculated based on organization staff numbers reported in the member organization's most recent CRA annual T3010 filing available online at the start of Cooperation Canada's fiscal year (April 1). Please consult this factsheet to see where your organization falls in terms of fees.
10. Organizational documents to include

Please include the following four (4) documents:
Letters patent; By-laws; Audited statements; Annual Report

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Please note that once your membership is approved, we will be asking you to fill a separate form for membership fees.
Should be Empty:

Application Form

1. Organization Information

2. Persons designated for regular liaison with Cooperation Canada

3. Objectives/Activities

4. Nature of your organization

6. Why do you want to join Cooperation Canada and what would your organization bring to our coalition?

7. Two Supporting Members for Your Application

8. Code of Ethics

9. Information on the Cooperation Canada Membership Fees Structure

10. Organizational documents to include

Please note that once your membership is approved, we will be asking you to fill a separate form for membership fees.