Donation Request Form

"*" indicates required fields

If you have additional information to support this request, e.g., project plans, existing funding partners, timelines, etc., please email to community@strathconaresources.com.

Requestor Name*

First Last

Charity / Nonprofit Number*

Name of Organization*

Address of Organization*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Email Address*

Contact Phone Number*

What community does you organization serve?*

Please provide the name of the community*

Tell us about your organization and how it makes a positive impact in the community

What type of request are you making?*

Please describe the type of request you are making*

Description of request*

Please share a description of your request – who it will serve, how the funding will be used, etc.

Does this project align with Strathcona's key focus areas of Sports & Performing Art, Education and Community?*

Because you chose "None of the above" in the previous question, please provide details below.*

Strathcona is focused on removing barriers and creating opportunities for all. How would our donation support this goal?*

What is the total budget for this project?*

Please include any other sponsors you will be working with.

Funding amount requested*

Please provide an amount in Canadian dollars

Date funding is required by*

Is there an opportunity for Strathcona employees to volunteer in support of this program?*

Yes

Please share details:*

Has Strathcona worked with your organization before?*

Yes

Please share details:*

Have you spoken to anyone at Strathcona about this application and/or donation request?*

Yes

Please share their name*

Optional upload of supporting document

Accepted file types: docx, xlsx, pdf, jpg, png, Max. file size: 25 MB.

Name

This field is for validation purposes and should be left unchanged.