Company Application Form

Test

I am an authorized representative of this organization.
- I am an authorized representative of this organization.
Company Information
Company Name*
Street Address*
City*
State or Province*
Zip*
Is your Company a Social Enterprise*
Company Logo
Company Url
Corporate Social Responsibility (CSR)*
- None
- Matching Program for Employee Philanthropy
- In-kind Donations
- Grants / Sponsorships
- Time off for Employees to Volunteer
Please check all of the IIC focus areas that align with your company brand or with the interests of the owners and/or employees. These focus areas will be shown on your company profile in the IIC Company Member directory.
- Education
- Environment
- Health and Wellness
- Social Justice
- Women and Families
- Arts and Culture
Contact Information
Contact Name*
Contact Email*
Contact Phone*
Charities you would like listed on your company's IIC page:
1st Charity Choice
2nd Charity Choice
3rd Charity Choice
Terms and Conditions*
- I agree to the Term and Conditions
To receive funding, IIC Company Members agree to:
- Allow IIC to publish certain information at the IIC website
- Keep contact information provided to IIC current
- Applicant is also “opting in” to receive occasional updates and announcements from IIC
- IIC does not share information with third parties

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Company Information