Award for Outstanding Corporate Citizen (fewer than 500 employees) – Nomination Form - AFP Quebec - Association of Professional Philanthropists

1. Information on the nominating organization

a. The person completing the nomination form

Name*

First name

Last name

Telephone*

Email*

b. The nominating organization

Name*

Mailing address*

Adress line 1

City

Province

Postal code

Registration number*

Telephone*

Email*

Founding year*

Number of employees*

2021 annual budget*

2020 annual budget*

Funding sources (check all of the options that represent 10% or more of your annual budget)*

Individual donations
Corporate donations
Subsidies
Events
Investment income
Membership fees
Other

If other, please specify : (max 10 words)

Sector*

Health
Education
Community
Arts and culture
Environment
Sports
Other

If other, please specify : (max 10 words)

c. Your mission (max. 50 words)

d. Provide a brief history of your activities and an overview of your concrete accomplishments. (max. 150 words)

2. Information on the candidate

Name*

Mailing address

Street Address

Address Line 2

City

Province

Postal code

Registration number*

Téléphone*

Email*

Website*

Area of activity

If other, specify: (max. 10 words)

Where have the candidate’s actions had the greatest impact?*

In Quebec
In Canada
Elsewhere in the world

Photo (max. 50 MB)*

Accepted file types: jpg, gif, png, Max. file size: 50 MB.

Present the business you are nominating by providing a brief history and an overview of its activities. (max. 150 words)*

3. Candidate’s philanthropic contribution

Present the genesis and scope of the candidate’s contribution to your organization. Provide any relevant information, being as specific as possible: situate the elements in time; describe your organization’s relationship with this business, its contribution to your organization, and the circumstances surrounding the philanthropic initiative and the challenges. (max. 250 words)*

Provide in the form of a list the candidate’s community involvement with other organizations, if applicable and based on what you know. (max. 100 words)

4. Impact of the candidate’s contribution on your organization

Describe the concrete impact of this contribution on your organization. Provide all of the relevant information, being as specific as possible: situate the elements in time; quantify the impact by stating the monetary amount or the percentage corresponding to your annual or events budget, if applicable; describe the difference this contribution concretely made to your capacity to offer programs and/or services; try to quantify the number of direct and indirect beneficiaries of this financial support. (max. 250 words)*

5. Candidate’s leadership and the rallying impact of the initiative

Describe the business’s leadership in the community and its capacity to serve as a lever in motivating and coordinating groups of donors and/or volunteers. How did this contribution or initiative create a multiplier effect to the benefit of your mission? In what way is the candidate and catalyst for change within your community? Can you estimate the number of individuals involved in your cause as a result of this support? (max. 200 words)*

6. Ethics, responsibility and inclusion

Describe the efforts made to ensure that this initiative respects AFP Quebec’s standards of ethics and transparency as stated in its Code of Conduct. What efforts were made to ensure that this initiative was inclusive and environmentally responsible, if applicable? Describe the candidate’s capacity to organize and manage campaigns and committees based on the best practices in the field of philanthropy, and their capacity to manage the time, efforts and financial resources of all those involved in this initiative. (max. 200 words)

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