Community Impact Grant Application

Through Crowley Cares, our employees make more impactful and positive changes where they matter most – in the communities Crowley serves. Our core focus areas are Education, Sustainability, Health & Wellness, and an Inclusive Culture. Our charitable giving will be measured against these values. To inquire or apply for a grant, please complete the following application.

Employee Information

What is your Name?*

What is your e-mail?*

What is your Phone Number?*

Business Unit*

Select

Department*

Non-Profit Organization Information

Please enter the organization you are seeking this grant for?*

Who is your contact at the organization?*

What is your contact's phone number?*

Phone

What is the e-mail address of your contact?*

Address of non-profit organization*

EIN Number*

Donation

Date of Event*

Please indicate the purpose of the donation?*

How many people does this positively Impact?*

Select

Alignment*

Education

Sustainability

Health & Wellness

Inclusive Culture

How does it align?

If the request is for a gift in kind, please select the type*

Select or enter value

Grant Amount*

Is there a volunteerism opportunity available to coincide with this donation?*

Yes

If so explain.*

Estimated Hours per Volunteer*

Estimated Number of Volunteers*

Container Donation

Container Size*

Select

Equipment Needed Date*

Can the non-profit pay for delivery (est. $450)*

Yes

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