Submit my application for social engagement

Eligibility Screening

1. Type of request

2. Applicant type

3. Confirmations

I confirm that this request is not an individual request (submitted in a personal capacity).

I confirm that this request is not political, religious, or union-related.

4. Project / event date

5. Annual cycles

I confirm that the request is submitted within one of the two annual submission cycles and at least 60 days before the scheduled project or activity date.

1st cycle

January 1 to May 30: application submission period

June 1: evaluation

Decision communicated no later than July 1

2nd cycle

August 1 to November 30: application submission period

Starting December 1: evaluation

Decision communicated no later than December 20

Eligibility – Private company / commercial entity

Does your organization have an established partnership with SANEXEN (or one of its divisions / joint ventures)?

Name of SANEXEN contact

Division / joint venture concerned

Nature of the partnership (short text)

Since when (year) (optional)

Requests from private companies are assessed only within the framework of established partnerships with SANEXEN (or one of its divisions / joint ventures). Your request is not eligible through this form.

Applicant Contact Information

First Name

Last Name

Title / Position

Organization / Company

Phone number

Organization / Company Information

Legal name

Address

City

Province

Postal Code

Country

Website

Status & legal informations

Statut

NEQ (optional)

Registered charity number (CRA), if applicable

Business number (optional, if private company)

Mission / organization description (2–5 lines)

Does your organization redistribute funds to other organizations?

Specify which organizations and approximate proportion (%)

SANEXEN Relationship History

Has SANEXEN (or one of its divisions / joint ventures) previously supported your organization or event?

Year(s) of support

Type of support

DonationSponsorshipPartnershipOther

Name of the supported initiative / event

Did this support take place during the current calendar year (January 1 to December 31)?

Explain why this request qualifies as a partnership or exception and describe the added value.

Project / Event

Project / event name

Type

If Other : specify

Start date

End date

Location(s) (city / region)

Priority areas aligned with SANEXEN

Environment (water, ecosystem protection, awareness)Education and academic perseveranceOther (specify)

If Other: specify

Project description

Context / need

Planned activities

Expected outcomes

Measurable outcomes

Expected number of participants / beneficiaries

Concrete indicators

How outcomes will be measured

Total project budget

Amount requested from SANEXEN

Other funding sources

Is this a fundraising activity?

Intended use of funds

Estimated percentage of administrative costs

Requested Support

Type of support

Financial supportGoods / servicesKnowledge sharing / resourcesVolunteering / employee involvement

Describe the intended use of the requested support

Is a SANEXEN employee involved in the project?

Name

Role in the project

Division / location

Sponsorship / Partnership benefit

Estimated audience / reach

Expected attendance

Digital reach (if applicable)

Benefits offered

Logo placementMentions / communicationsBooth / on-site presenceTickets / accessSpeaking opportunityOther

If Other: specify

Visibility deliverables timeline

Applicant communications contact (name and email)

Conflict of Interest

Is your organization involved in a process that could create a real or perceived conflict of interest with SANEXEN?

Specify

Attachments

Detailed budget

Annual report / financial statements or corporate document

Visibility plan / sponsorship package

Certifications

I confirm that the information provided is accurate.

I have read the Social and Community Engagement Program published on SANEXEN’s website.

I understand that the granting of support remains at SANEXEN’s sole discretion.