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2012 DOW Gives Community Grants Program - The Dow Chemical ...

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<strong>Dow</strong> <strong>Chemical</strong> Canada ULC, Prentiss<br />

<strong>2012</strong> <strong>DOW</strong> <strong>Gives</strong> <strong>Community</strong> <strong>Grants</strong> <strong>Program</strong><br />

<strong>DOW</strong> established a <strong>Community</strong> <strong>Grants</strong> <strong>Program</strong> in 2001 to help fund local service projects<br />

in the communities where our employees or retirees have a presence. Since the program<br />

was launched, <strong>DOW</strong> has contributed over $530,000 to local organizations supporting<br />

short-term projects that create visible results.<br />

<strong>Grants</strong> up to a maximum of $5,000 are provided for material resources and supplies that are<br />

integral to initiatives that contribute to community success and local quality of life through<br />

sustainable development, community interaction, relationship building, or by enhancing the natural<br />

or built environment. For example, funding has been awarded for protective coveralls for volunteer<br />

firefighters, a palliative care community outreach program, computer equipment for a variety of<br />

youth and family programs, playground equipment at an elementary school campus, renovations<br />

at a non-profit facility, and supplies and equipment for arts, recreation and athletic programs.


<strong>Dow</strong> <strong>Chemical</strong> Canada ULC, Prentiss<br />

Who can apply for funding?<br />

To qualify for <strong>2012</strong> <strong>DOW</strong> <strong>Gives</strong> <strong>Community</strong><br />

<strong>Grants</strong> <strong>Program</strong>, organizations must:<br />

• have a registered charitable number, and/or<br />

• be a municipal or government agency, and/or<br />

• other type of non-profit organization, and/or<br />

• operate within a 50 km radius of the Prentiss site<br />

<strong>DOW</strong> strives to ensure the <strong>DOW</strong> <strong>Gives</strong><br />

<strong>Community</strong> <strong>Grants</strong> <strong>Program</strong> is unbiased,<br />

inclusive and fair.<br />

<strong>The</strong>refore, grants are not provided to:<br />

• individuals<br />

• political candidates<br />

• religious organizations, however, we will<br />

consider organizations with religious<br />

affiliations that are seeking funding for<br />

an non-denominational initiative that<br />

is open to the community-at-large<br />

• funding cannot be used for operating<br />

expenses including salaries, travel costs,<br />

fees for workshops or foundations<br />

• we do not fund “seed” money or start-up fees<br />

How many grants are available<br />

within <strong>DOW</strong> <strong>Gives</strong> <strong>Community</strong><br />

<strong>Grants</strong> <strong>Program</strong>?<br />

Prentiss’ <strong>2012</strong> <strong>DOW</strong> <strong>Gives</strong> <strong>Community</strong> <strong>Grants</strong><br />

<strong>Program</strong> provides $30,000 in total to support<br />

within a 50 kilometre radius of our site. <strong>The</strong><br />

number of grants we award will depend on the<br />

individual and collective value of the applications<br />

and whether they meet the selection criteria.<br />

Organizations can request funding up to a<br />

maximum of $5,000; however, proposals<br />

requiring less than $5,000 are encouraged.<br />

Only one application per organization may<br />

be submitted and incomplete applications<br />

will be disqualified.<br />

What is the selection process?<br />

A selection committee comprised of<br />

representatives from the community, <strong>DOW</strong>’s<br />

<strong>Community</strong> Advisory Panel and <strong>DOW</strong> employees<br />

will review all proposals and determine how<br />

effectively the project or initiative:<br />

• meets a specific community need or solves<br />

a problem, enhances the community or assists<br />

its residents<br />

• benefits a number of people and has<br />

a measurable community impact<br />

• aligns with the organization’s philosophy<br />

and activities<br />

• is guided by goals, objectives and results<br />

that are clearly defined<br />

• is short-term, with high visibility and provides<br />

clearly defined recognition opportunities<br />

for <strong>DOW</strong><br />

• requires a realistic, justifiable funding level to<br />

complete the entire project or a phase of it,<br />

and does not fund operational expenses such<br />

as salary or travel costs<br />

We will notify our successful <strong>2012</strong> <strong>DOW</strong> <strong>Gives</strong><br />

<strong>Community</strong> Grant recipients of their award by<br />

September <strong>2012</strong>.<br />

How do we submit an application?<br />

Please complete our <strong>2012</strong> <strong>DOW</strong> <strong>Gives</strong><br />

<strong>Community</strong> <strong>Grants</strong> Application form. Applicants<br />

who do not use the attached <strong>DOW</strong> form will be<br />

disqualified from the selection Process. Please<br />

do not send generic proposals. Submit it along<br />

with any other relevant documentation,<br />

by June 29, <strong>2012</strong> to:<br />

<strong>DOW</strong> <strong>Chemical</strong> Canada ULC<br />

Attention: Carolyn Schultz<br />

Public Affairs<br />

Highway 15, P.O. Bag 16<br />

Fort Saskatchewan, Alberta T8L 2P4


<strong>Dow</strong> <strong>Chemical</strong> Canada ULC, Prentiss<br />

<strong>2012</strong> <strong>DOW</strong> <strong>Gives</strong> <strong>Community</strong> <strong>Grants</strong> <strong>Program</strong><br />

Application Form<br />

(Please print and ensure all fields are completed. Incomplete applications will not be considered. Thank you.)<br />

Organization Name:<br />

Registered Charitable # (if applicable):<br />

Mailing Address:<br />

Street Address:<br />

Your Name / Organization Contact:<br />

Telephone:<br />

Briefly describe your organization’s philosophy, purpose and activities:<br />

Describe the proposed project including the purpose, start and end dates, specific activities<br />

involved, and the material resources and supplies that require funding through the 2011 <strong>DOW</strong><br />

<strong>Gives</strong> <strong>Community</strong> <strong>Grants</strong> <strong>Program</strong>. Please attach cost lists for items and/or photos as appropriate.<br />

Number of people impacted by the project:<br />

Amount of funding requested:<br />

List your organization’s other funding sources:<br />

Has your organization received funding through <strong>DOW</strong> <strong>Gives</strong> <strong>Community</strong> <strong>Grants</strong> <strong>Program</strong> in the<br />

past?<br />

No Yes When?


<strong>Dow</strong> <strong>Chemical</strong> Canada ULC, Prentiss<br />

Explain how this project contributes to community success and local quality of life through<br />

sustainable development, community interaction, relationship building, or by enhancing the<br />

natural or built environment:<br />

Explain how your organization plans to recognize <strong>DOW</strong> for this contribution:<br />

Provide a detailed budget for the project. If applicable, attach your organization’s<br />

financial statements. Please also include specific price quotes and if possible,<br />

photos for any equipment or materials that you’re requesting funding towards:<br />

Please submit your application by June 29, <strong>2012</strong> to:<br />

<strong>Dow</strong> <strong>Chemical</strong> Canada ULC<br />

Attention: Carolyn Schultz<br />

Public Affairs<br />

Highway 15, P.O. Bag 16<br />

Fort Saskatchewan, Alberta T8L 2P4<br />

Questions? Call 780-998-8028 or email FCAABPA@dow.com.

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