VERGE Capital Funds - Expression of Interest
Welcome to the VERGE Capital Expression of Interest form. Prior to filling in this form, we recommend you connect with a VERGE Capital team member at info@vergecapital.ca.

ABOUT US: VERGE Capital connects caring local investors with local enterprises that have a social or environmental mission at their core.

VERGE Capital is a social finance program of Pillar Nonprofit Network in collaboration with Libro Credit Union, London Community Foundation, MaRS Centre for Impact Investing, Sisters of St. Joseph and the Government of Ontario. VERGE Capital currently operates two separate social finance loan funds that provide capital to both new and established organizations across Southwestern Ontario.

VERGE STARTUP FUND: Provides loans to early stage, high-growth social enterprises. Our loan sizes range from $5,000 to $100,000. Terms of the loans are customized to each successful recipient.

VERGE BREAKTHROUGH FUND: The VERGE Breakthrough Fund is Southwestern Ontario’s first impact investing fund providing growth capital to social and environmental enterprises. The fund makes it possible for investors to leverage their investment portfolio to create positive community impact through a pooled approach. The fund provides loans of $50,000 to $500,000 to affordable housing development projects, community real estate projects and established social enterprises.

Submission of this Expression of Interest does NOT guarantee approval of loans. Your answers will guide the VERGE Capital team to understand if your social enterprise fits our eligibility. If you need support completing the form please email info@vergecapital.ca

NOTE: You CANNOT save a draft, please complete and submit. It is recommended to use an up to date browser, preferably Chrome, to access this form.
Sign in to Google to save your progress. Learn more
Email *
Insert your full name *
Social Enterprise Name: *
Requested amount for social finance loan? (Between $5k - $100k Startup Fund) (Between $50k-$500k Breakthrough Fund) *
How will the requested loan funds be used? *
Items and amounts are helpful to understand the use of funds
Is your social enterprise incorporated or a registered business in Ontario? *
What is the legal structure / ownership structure of your social enterprise? *
Describe your management team *
Include the following for each individual: Name, Role, Responsibilities, Relevant Experience, Financial Contributions
Describe your board of directors / advisors?
Include the following for each individual: Name, Role, Past Experiences
Do you have any partnerships or support from the community? (Maximum word count: 500)
How do you measure impact? *
Include regional context (i.e. local, provincial, national and/or global)
Will this investment create employment opportunities? *
 If yes, describe how - include the quantity and type of employment you intend to create.
Please submit ALL following documents: (if you are unable to provide these documents yet, please contact info@vergecapital.ca and we will support the development of these plans with you) *
Required
Please submit files via email to info@vergecapital.ca and / or including link to Dropbox or Google Drive here:
URL link
Other than VERGE Capital, what additional types of investment are you exploring: *
How did you hear about VERGE Capital? *
Please fill in the Social Enterprise Profile Form Here: https://goo.gl/forms/F05Pplx2jbVWFvsc2 *
We use this to get a better understanding of your great work
Is there anything else you would like to share with us?
By pressing "Yes", I provide consent to VERGE Capital and its partners to use the contact information provided. I also acknowledge the information and documents provided above to be accurate and material. *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Pillar Nonprofit Network. Report Abuse