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Community Donation Fund Form

Associate Name*
Associate Email*
Enter your email in this field
Cost Center:*
Submission Date:*
Quarter for Grant:*
Amount requested (max $3000):*
Please Note: individual requests are capped at $3,000. In addition, total cost centre allocation per fiscal year is capped at $3,000. This amount can be split between multiple grants or a single grant in the year. Please be mindful of this as you submit your request.
Organization, Charity, or Other:*
Registered Charity Number:
Explaination of Request (please include as much detail as possible):*

Attachment

Requests reviewed on a quarterly basis immediately following the end of the fiscal year quarter. If the request is of a time sensitive nature, please also email appliedcaresprogram@applied.com directly to discuss.