Dow Canada Community Grant Request

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

Contact information

Legal name of organization

Website

Address 1

City

State or Province

First Name*

Last Name*

Phone

Email*

Postal Code

Country*

Is your organization a registered charity with the Canada Revenue Agency?

Date of registration

Charitable Registration Number

Has your organization received funding from Dow before?

If yes, when?

If no, have you applied in the past?

How did you hear about our Global Citizenship program?

Are you a United Way funded organization?

If yes, what percentage of your budget is funded through United Way?

Project information

Briefly describe the goals of your project*

What needs in the community will your project help to address?*

Describe the scope and capacity of your organization to address the community need?*

What are the impacts of this project and how will they be measured?*

(i.e. Number of people it will serve, improvements it will make, etc.)

What is the anticipated start date?*

What is the anticipated end date?*

What will be the total cost of your project?*

What is the amount you are requesting from Dow? *

Can your project proceed with partial funding or does it require full funding? *

Please list the specific budgeted items for your request. Please include a total amount.*

Fit with Dow

How will this project support Dow’s Global Citizenship pillar: Advancing Sustainable Solutions?*

(Can be found at https://corporate.dow.com/en-us/about/partnerships/citizenship/sustainable-solutions.html) If it does not support the pillar, indicate Not Applicable

How will this project support Dow’s Global Citizenship pillar: Building Inclusive Communities?*

(Can be found at https://corporate.dow.com/en-us/about/partnerships/citizenship/sustainable-solutions.html) If it does not support the pillar, indicate Not Applicable

How will this project support Dow’s Global Citizenship pillar: Developing Tomorrow’s Innovators?*

(Can be found at https://corporate.dow.com/en-us/about/partnerships/citizenship/tomorrows-innovators.html) If it does not support the pillar, indicate Not Applicable

How will this project provide volunteer opportunities for Dow employees? *

(Can be found at https://corporate.dow.com/en-us/about/partnerships/citizenship/engaging-for-impact.html)

Are there opportunities for Dow’s support to be recognized? Please describe.

Additional considerations

How will your project serve Indigenous peoples in your region?

Can your solutions be scaled or leveraged for greater impact?

(i.e. community or government grants can be matched?)

What are your current sources of funding?