Instructions : Request For Less Than $10,000

Welcome to Weyerhaeuser in Canada’s online donation request site. Please use this application for requests for philanthropic donations of less than $10,000. For event sponsorships or Jobs for Youth grants, please use the appropriate form available in the Application Forms section of the webpage. Back to Canada Giving Program page.

You must answer ALL questions. To ensure that the request process goes smoothly, we recommend that you have all the information concerning your project/program at hand. Requests cannot be saved and finished at a later time.

The information you will need is:

• Organization name, address, contact information, organization history, mission, goals
• Revenue Canada or Provincial Society registration number. If you are a municipality or covered by one, or are an aboriginal organization, you do not require a registration number to apply.
• Detailed information on the project or program
  • Description
  • Geographic area covered
  • Number of people served
  • History
  • Future plans
  • Evaluation measures
  • Plans for reporting to donors
• Financial information
  • Sources of organization’s income
  • Most recent Financial Statement
  • Operating budget for current year
  • Budget details for current project or program
  • Other sources of funding – committed and applied for
  • Future funding plan
• Board of Directors
• Names and contact information for two independent references for requests over $2,000

Please note that some questions require information to be input in a specific format. If you do not complete these questions in the format requested, you will receive an error message in red below the question. The orange tooltips provide guidance on the format required. Your request will not submit if the information in any of these fields is not completed correctly.

Once you submit your request, you will receive a confirmation notice within a few moments, with a Submission Number and estimate of when you can expect a response. It will also provide you with a printable and savable version of your request for your files.

The information you provide to us in your application is used only by Weyerhaeuser and its agents authorized to handle donations data. The database where your information is stored is password protected and secure.

You do not need to mail or fax a printed copy of the application or confirmation to us.

If you do not receive the confirmation, please review your application for error messages, and then resubmit. We receive your application only after the confirmation is issued. Please ensure you receive your confirmation number before exiting the application program.

Thank you for considering Weyerhaeuser as a potential partner for your project/program. We wish you success with your endeavours.

Organization

* Please note that these fields are mandatory

* Organization Name
Alternative Name
* Address
* City
* Province	Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
* Postal Code
* Phone
Fax
Website
* Closest Weyerhaeuser Operation	Big River, SK Carrot River, SK Claresholm, AB Delta, BC Drayton Valley, AB Dryden, ON Ear Falls, ON Edmonton, AB Edson, AB Grande Prairie, AB Hudson Bay, SK Kamloops, BC Kenora, ON Langley, BC Miramichi, NB Okanagan Falls, BC Prince Albert, SK Princeton, BC Vancouver, BC Vavenby, BC Wawa, ON
* Registered Charity or non-profity society?	Yes No
Registration Number
* Proposal Contact Name
Contact Title
Contact Phone
* Contact Email Address
Chief Executive (if different)
* Organization Mission & Goals
* Year Founded
* Organization History

Project/Program Information

* Please note that these fields are mandatory

Please answer the questions clearly, concisely and in point form wherever possible. The orange tooltips provide guidance on the type of information to include.

* Project Title
* Type of Support	Capital Equipment Program specific
* Description of Project
* Community Sector	Amateur Sports Arts and Culture Civic and Community Improvement Education and Youth Environment Forest Industry Related Health and Wellness Social Services
* Amount Requested from Weyerhaeuser
* Total Cost of Project or Program
* Start Date of Project or Program
* End Date of Project or Program
Program Length To Date
* Geographic Area Covered
* Number of People Served
* Purpose
* Need
* Approach
* Local Support
Coordination
* Organizational Capacity
* Future Support
* Use of Our Funds
* Evaluation
* Reporting
* Recognition

Financial Information

* Please note that these fields are mandatory

* Committed Funding Sources
* Funding Sources Applied To
Source of Organization's Income
Fees/Earned Income	%
Individual Contributions	%
United Way	%
Corporate/Foundation Grants	%
Special Events	%
Memberships	%
Other	%
Federal Government	%
Provincial Government	%
Municipal Government	%
* History with Weyerhaeuser?	Yes No
Funding History Description
Project Budget
* Total Projected Revenues
* Total Projected Expenses
* Does your organization have audited financial statements?	Yes No
If yes and your request is for more than $1,000, please provide the following information from your organization’s most recent financial statement:
Date of Statement
Amount of net assets
Change in net assets
Cash on hand

Board of Directors and References

* Please note that these fields are mandatory

* Board Members

References

You should receive a confirmation number a few moments after clicking the Submit button. If you do not receive the confirmation, please review your application for error messages, make the required corrections and then resubmit.