WM Thorhild CIF Application 2012 by e2UL2X1

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                                           Waste Management of Canada
                  2012 Community Investment Fund Application - Thorhild County
Organizations wishing to be considered for financial or in-kind donations must complete this
application.
General Information                                                                                                       Yes   No
1. Is your organization for-profit (versus a registered charity or not-for-profit)? ................................

2. Are funds for your organization used for private purposes? .....................................
3. Would any funding for this request:
    a) help promote a particular faith? ..........................................................................

    b) support any political candidates or lobbying organizations? ...............................
    c) support an organization with a limited constituency, such as fraternal, labor or
       Veteran’s groups?...............................................................................................

    d) support endowments or foundations? ................................................................

    e) support anti-business groups? ...........................................................................

4. Does your organization discriminate on the basis of race, color, religion, or gender?


If you responded:
    “yes” to any of the questions 1-4, your organization does not meet WM’s eligibility criteria
     and funding will not be provided.
    “no” to all of the questions, you are eligible for funding. Please complete this application.
Organization & Contact Information

Organization:
Address:

City/Town:                                              Province:                              Postal Code:

Contact Name:
Title:


Tel:
Fax:
E-mail:


Charitable Reg #:                                                                                   N/A:
                                                                                                     2

Which category below does your program or organization support?
    Community                            Environment                       Environmental Education


Funding Request – Required Content
In an attached proposal, please include information about the following:
   background information on the organization including history, mission, activities, and
    programs
   purpose and objectives of the program for which funding is being sought
   needs being addressed
   plan of action and time frame
   qualifications of program's staff
   total funding required and projected sources
   the amount requested from WM
   how the project's success will be determined/measured and how results will be communicated
   specific ways Waste Management will be recognized
   description of how the program fits with WM’s values of community, environment and
    environmental education
   anything else you would like us to know as we review the application

Printed Name:                                              Title:

Signature:                                                 Date:


Application Deadline
Applications must be received by Septmenber 1, 2012. Please apply early as funds may become
limited later in the year. Requests funded in any one year are not assured of future funding. If
renewed funding is desired, the organization should submit a new application for the new year.

Questions / Send Completed Application to:
dcoenen@wm.com
Transmittal by e-mail is encouraged to help save our resources!

If by mail:
Doug Coenen
Director of Landfill Operations
Waste Management of Canada – Western Canada Area
12707 170th Street
Edmonton, AB T5V 1L9

Tel: 780-447-0403

								
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