Corporate Donation and Sponsorship Application Form Please enable JavaScript in your browser to complete this form.Date of ApplicationRegistered Charity # (If applicable)Name of Charity/OrganisationMailing AddressAim of Charity/OrganisationAmount of Funds RequestedProgramme/Event that Funds will be applied toSocial Group that will Benefit from FundingDate of Programme/EventContact DetailsNameFirst and Last nameTitle In Organisation *Contact Number *Email *Other Important DetailsWill Clarien’s name/logo appear in promotional materials for this programme/event?YesNoIf yes, please explain.Will you be requesting additional support from Clarien? For example, volunteers.YesNoIf yes, please explain.Will there be any media exposure opportunities for Clarien?YesNoIf yes, please tick those applicable.OnlineSocial MediaTVRadioNewspaperCommentSubmit Leadership Directors Executives Senior Mgmt Directors Patrick Hylton – ChairmanRobert Almeida – DirectorDennis Cohen – DirectorJames Gibbons – DirectorJames Macdonald – DirectorC. H. (Hal) Masters – DirectorWanda Mwaura – DirectorAndrew Parsons – DirectorGregory Winston Slayton – DirectorIan Truran – Director Executives Ian Truran – Chief Executive OfficerJonathan Raynor – Chief Risk OfficerMichael DeCouto – Chief Digital and Marketing OfficerMinish Parikh – Chief Operating OfficerSimon Van de Weg – Chief Banking OfficerVishram Sawant – Chief Financial Officer Senior Mgmt Andrew Yates – SVP, FinanceMiguel DaPonte, CFA – SVP, Head of Investment ManagementPearline McIntosh – SVP, Head of Private BankingRegina Simmons – SVP, Head of Enterprise OperationsJennifer Hanson – SVP, Head of Trust and Family Office
