Dow Canada Community Grant Request

Please fill out each required field to ensure that your request can be completed as quickly as possible.

Legal name of organization*

Website*

Street/house/apartment #*

City*

State / Province*

Postal Code*

First Name*

Last Name*

Phone*

Email*

Select a Organization Type*

Date of registration*

Charitable Registration Number*

School Name (if applicable)

Website (if applicable)

Has your organization received funding from Dow before?

Yes

If yes, when?

If no, have you applied in the past?

Yes

How did you hear about our Global Citizenship program? *

Are you a United Way funded organization?

Yes

If so, what are you funded for?

Please describe your project: *

What are the goals associated with the project? *

Start date *

End Date *

Activities Involved *

What is the mission/purpose of your organization? *

How does this project fit with your organization’s mission? *

How does this project fit with at least one of Dow’s priority areas *

Dow’s Priority Areas

1) Sustainable Innovation

Prevent waste, accelerate recycling and advance a circular economy for plastics
Discover new ways to use Dow products for social good

2) Inclusive Leadership

Support inclusive leadership
Strengthen organizations with the potential to create a more inclusive society
Support non-profits, municipalities, and community groups who enable inclusion and diversity where we operate

3) Develop a Ready Workforce

Build a skilled and diverse manufacturing workforce
Create the next generation of diverse chemists and engineers

How many people will be impacted by this project? *

Does this project have other funding sources?*

Yes

If yes, please list the other funding sources:

Total cost of project: *

Amount requested: *

Amount raised to date: *

Please list the budget items for your request. Be sure to include a total amount. *

Can this project proceed with partial funding or does it require the full amount requested to proceed? *

Are there opportunities for Dow employees to be involved in the project or to volunteer with the organization?*

Yes

Are there any opportunities for Dow to be recognized for its contribution?*

Yes

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