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Visa* Intake Form

APPLICANT DETAILS

ABOUT YOUR BUSINESS

YOUR BUSINESS’S IMPACT

As Canada’s first values-driven bank, VCIB partners with businesses and organizations making a difference in their communities. The following questions will help us understand the impact you’re having through your products, services or operational practices.

VCIB seeks to support businesses and organizations addressing a wide range of social, environmental and economic issues. Please check all that apply to your business or organization:

Where possible, VCIB seeks to support businesses historically underserved by mainstream finance. Please check all that apply to your business or organization:

Where possible, VCIB seeks to support businesses that demonstrate leadership for the environment, workers and communities. Please check all that apply to your business:

Has your business earned any formal awards or recognition related to the following? Please check all that apply to your business:

Has your business received any fines, convictions or warnings related to any of the following in the past four years? Please check all that apply to your business:

Does your business earn revenues such as sales or fees for service from any of the following sources? Please check all that apply to your business:

FINANCIAL INFORMATION

Vancity Community Investment Bank is a member of CDIC and is a Certified B-CorpTM