Organization Name *

First Name *

Last Name *

Title *

Phone *

Email *

Address One *

Address Two

City *

State *

Zip *

Country *

Website *

Facebook

Instagram

Date of Request * YYYY/MM/DD

Deadline for Donation * YYYY/MM/DD

If applicable , please enter your organization's charitable designation number and the type of number it is. *

Revenue Canada Charitable Registration # *

Provincial Non-Profit Society Registration # *

IRS Non-Profit Registration # (W-9) *

Detailed description of charitable organization recognized by the country-of-origin tax authorities. *

Provide your organization's mission, vision and values. *

What is your organization's annual operating budget? *

Is your organization founded or led by an elected official and/or does an elected official or candidate site on your organization's board or similar governing body? *

Please provide their name, title, and elected position. *

Are you applying for a provincial/state or national donation or community-specific donation? *

Please select a region. *

How many people do you serve or benefit from your organization? *

Select the Domtar community investment focus area that most closely aligns with your request: *

What type of support are you requesting from Domtar? *

Please describe your above support request. * If financial, what is the amount? For product donation, what product and how much? If volunteer opportunity - what is the activity and how many volunteers are needed? Other, please describe.

Provide a detailed description of the proposed partnership including its objectives and how Domtar's donation will be used. *

Have you received support from Domtar in the past? *

Please describe the previous support you received from Domtar. *

Are any Domtar employees served by your organization, or who serve your organization? *

Names of Domtar Employees Served *

Is there a volunteer opportunity for Domtar employees associated with this partnership? *

Please describe the volunteer opportunity. *

How will Domtar's contribution be recognized by your organization, internally and externally? *

How do you define the success of this partnership? *

Additional Information * Please provide any additional information you believe will help us review your application.