2016 minnetonka community grant application - … minnetonka community grant application! 2016! ......

2016 Minnetonka Community Grant Application

Syngenta Minnetonka Community Grant Application 2016

Classification: PUBLIC

Guidelines & Application

Syngenta and its legacy companies have supported many of the area’s charitable and civic causes. Through our Minnetonka Community Grant Program, Syngenta focuses its corporate giving on local programs that support important needs in our community: ! agriculture and/or STEM (Science Technology Engineering & Math) education ! hunger relief ! water and land conservation Our Mission The Minnetonka Community Grant Program strives to provide meaningful funding to not-for-profit programs in the Twin Cities and surrounding communities that help further the understanding and advancement of agriculture and its role in feeding a growing population while protecting the environment. Our Objectives Syngenta welcomes applications from organizations in the Twin Cities and surrounding communities that will enable Agriculture and/or STEM Education, water and land conservation, and hunger relief. Projects reflecting innovative approaches and solutions, thoughtful planning, long-term impact and the most educational value for dollars spent will be given priority. Our Vision Through the Minnetonka Community Grant Program, Syngenta wishes to reach out to as many community organizations as possible. With a global population on track to exceed 9 billion by 2050, Syngenta has a role to play—both globally and locally—to meet the increasing demand for food and education. Thank you for your interest in the Syngenta Minnetonka Community Grant Program. For more information about Syngenta, visit our Web site at www.syngenta-us.com. For more information about the Syngenta Minnetonka Community Grant Program, contact David Vieths [email protected] or by calling 612.656.8017.



Syngenta Minnetonka Community Grant Program Guidelines Please review all guidelines below before beginning your application. 1. Deadline: Applications must be received no later than Friday, October 9, 2015. We

will not accept late proposals or those sent via mail or fax. Applications and supporting materials must be e-mailed in one document to: [email protected]. The subject of the email should read: (Insert organization name) Community Grant Application.

2. If, for any reason, a question does not pertain to your organization, please explain

why or indicate any not applicable with “NA.” Do not skip any questions. 3. Applications must be typed. 4. Please limit the length of your answers to the space provided. 5. Do not submit materials other than those requested. 6. Grants are made only to non-profit, charitable organizations, which are tax exempt

under Section 501(c) (3) of the Internal Revenue Code, or to schools and government agencies. In general, grants will be awarded in sums ranging from $1,000 to $10,000. Only organizations that operate within the Twin Cities and surrounding communities are eligible for consideration.

7. We generally do not consider requests from:

• Individuals • Fraternal, labor or veteran groups • Partisan political organizations • Member agencies of federated campaigns such as United Way or United Arts

Council • National organizations • Organizations employing full-time fundraisers who take a percentage of dollars

raised • Organizations which practice discrimination on the basis of race, creed, color,

gender, disability, sexual orientation or national origin 8. Please refrain from contacting us to check on the status of your application.

Finalists may be asked to present their proposals to a team of judges. Grant recipients will be notified on or before Friday, January 29, 2016.

9. Grant winners will be asked to submit a success story to the Community Grant committee by August 2016 to be considered for future grant money.

10. Syngenta maintains the right to suspend or cancel the Grant Program at any given

time.



Application Form

Please read the entire application form thoroughly before providing information. You may find that information may be more suited to one question than another. Some questions may seem similar, but please answer all of them, be specific and limit your answers to the space provided. Name of organization:

Address:

City:

Zip:

Phone:

E-mail:

Contact:

Title:

Organization purpose or mission:

How long has the organization been in operation?

List three sources from which you’ve received the greatest funding in the past calendar year:

Approximate percentage of total budget:

1.

% 2.

% 3.

%

Amount of funding requested from Syngenta Community Grant Program:

Describe the project for which you are requesting funding (1 to 5 sentences):



What internal and external communication channels are available to promote awareness of this project, if funded?

What outcomes and measurements will you show Syngenta if you receive this grant?

Tell us how funds will be used (provide as much detail as possible): Timeframe

How would support from our grant be used for short-term objectives and help in attaining long-term solutions? (3 to 5 sentences)

List your current board of directors and key staff: Community position (e.g. manager, mayor, volunteer)



Through plant biotechnology, crop protection and biological products Syngenta strives to reach its ambition: To bring greater food security in an environmentally sustainable way to an increasingly populous world by creating a worldwide step-change in farm productivity. How does this align with the values of your organization?

What else do we need to know about your organization and/or project?



Attachments and Agreements

The following information must be included with your application. Please label the attachments A, B, C, and D as indicated. Use the following checklist, sign the agreement and include this page with your other information.

A) A one-page, line-item budget for the specific project (showing anticipated income and expenditures).

B) A copy of your 501(c)(3) IRS tax determination letter.

C) This page, including your signature below.

D) A completed Syngenta Vendor Registration Form and W9.

Please read and sign the agreement below. Your application will not be considered unless a signature is included. I pledge that the organization named in the application will effectively use contributions by the Syngenta Minnetonka Community Grant Program in the manner stated in this application. As an official representative of said organization, I allow Syngenta to use information provided in this application for appropriate publicity and any other uses related to the Community Grant Program. Your name _______________________________________________________ Title ____________________________________ Date ___________________ Signature ________________________________________________________ Thank you for applying for a Syngenta Community Grant and for your continuing efforts to further the understanding and advancement of agriculture and its role in feeding a growing population while protecting the environment.

THIS REQUEST WILL ALLOW PROMPT PROCESSING OF INVOICES.

VENDOR NUMBER

MOBILE TELEPHONE

POSTAL CODE:

COUNTRY

Section One -‐ For Syngenta Use Only

NAME:

Section Two -‐ TO BE COMPLETED BY THE VENDOR -‐ Please complete the following details AND ATTACH THE FOLLOWING DOCUMENTS: 1.W9 FORM 2.COPY OF YOUR COMPANY LETTER HEAD STATING YOUR COMPANY BANK DETAILS THIS MUST BE SIGNED and email TO [email protected] OR by FAX to 1-‐866-‐800-‐8029

NEW VENDOR REGISTRATION FORM

NAME AND ADDRESS

PLEASE COMPLETE THIS FORM AND RETURN ALONG WITH A SIGNED COPY OF YOUR COMPANY LETTER HEAD CONFIRMING BANK ACCOUNT DETAILS

FAX

TAX IDENTIFICATION NUMBER

BANK DATA (FOR ACH DEPOSITS OR WIRE TRANSFERS)

STREET / HOUSE NUMBER:

TOWN / CITY:

BANK NAME

PO BOX POSTAL CODE (IF DIFFERENT THAN ADDRESS POSTAL CODE)

STATE

PO BOX

COMMENT

EMAIL (for account questions / remittance advice)

EMAIL (for receipt of Purchase Orders)

SAVINGS

IBAN NUMBER (FOR FOREIGN VENDOR)

ACCOUNT TYPE (MARK WITH AN X)

CHECKING

TELEPHONE

EXTENSION

ROUTING NUMBER/ ABA NUMBER

BANK ADDRESS

CURRENCY 1

ACCOUNT NUMBER

ACCOUNT NAME

SWIFT CODE

2016 minnetonka community grant application - … minnetonka community grant application! 2016! ......

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