Appendix A (Co-applicants): Consult the Who is Eligible section of the RED Program Guidelines to ensure the co-applicant is eligible to
apply under the RED program.
Primary Project Contact for Co-applicant
Preferred Language English French
Full Legal Name / Corporate Name of Organization Primary/Business Phone
Operating Name (if different from Legal Name)
Same as above or:
Secondary/Mobile Phone
Street
Address
City/Town Municipality Province Postal Code
Organization Type: Municipality Not-for-profit
Indigenous Community or
Organization Local Services Board
First Name Initial Last Name Job Title
Email Primary/Business Phone Secondary/Mobile Phone
Street address (if different from Operating)
Same as above or:
City/Town Province Postal Code Municipality
Rural Economic Development Program
CO-APPLICANT FORM
RED5 - CO (EN) 1.1
OR
I confirm the co-applicant does not have a Business Number
Please describe your organization. Include a brief history, strategic overview, services offered, clients
served, and the part of your organization to which the application relates. (Maximum 200 words)
Each co-applicant confirms, accepts, and agrees with section 4.1, 4.2, and 4.3 of the Application form.
I confirm the accuracy of the materials submitted, the co-applicant has read and acknowledges the
above.
Legal Name of Co-applicant
Signatory Name (First Name and Last Name)
Title (if applicable)
Signature Date (YYYY/MM/DD)
Business Number - Canada Revenue Agency Client Number The Business Number is a 9-digit business identifier used in Canada to which clients can register
program accounts with the Canada Revenue Agency (CRA). The program account number consists of
three parts: business number, two letter program identifier, and a four-digit reference number.
www.cra-arc.gc.ca/tx/bsnss/tpcs/bn-ne/wrks-eng.html
RED5 - CO (EN)
Co-Applicant Form Page 2 of 2
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