Dear Applicant, Our charitable giving program proudly supports local charity projects and events that serve our community. We invite you to apply for a contribution to your event or project using this application. Please clearly explain the purpose of your event or project, the benefit to the community, and how you will recognize Waste Connections of Washington, Inc. as a donor. For in-kind hauling requests, specify the exact types and quantity of waste you expect to dispose of. Waste Connections of Washington, Inc. (Waste Connections) receives hundreds of requests for donations, sponsorships, and in-kind hauling service annually. Due to the large number of requests, Waste Connections requires all community events and projects to formally apply using this application to ensure fair review and consideration. Annual events and projects must reapply each year. You may add a cover letter, flyer, brochure, or any other supporting documents to help the Charitable Giving Committee to consider donating to your event. Priority will be given to 501(c)(3) organizations and local government agencies. Please submit your request to: ClarkCountyCharitableGiving@wcnx.org. The Charitable Giving Committee will review your request. You can anticipate a response in 2-3 weeks. Sincerely, Charitable Giving Committee Waste Connections of Washington, Inc. INSTRUCTIONS: Please fill out this application completely. APPLICANT CONTACT INFORMATION This information will be used to contact you regarding your donation request. Contact Name Email Mailing Address Phone Number Today’s Date ORGANIZATION INFORMATION Please tell us about the organization requesting the donation. Organization Name Website Organization Type Business Church Club Government agency Non-Profit Volunteer group CHARITY INFORMATION Please tell us about the charity the requested donation will benefit. (If you are not supporting a charity, skip to the next section: REQUEST TYPE). Charity Name Website Tax ID # Please describe the charity’s mission and programs. Please explain: what percent of the event proceeds will go to the charity? What is the total amount you aim to raise for the charity? REQUEST TYPE What type of donation are you requesting from Waste Connections? Check all that apply. In-kind service (dumpsters/drop-boxes) for an event Examples: Festivals, concerts, runs, rallies, celebrations In-kind service (dumpsters/drop-boxes) for a project Examples: Litter clean up, community landscaping, charitable home improvement Monetary donation/sponsorship Requested Amount: $ Required: Attach a letter and sponsorship packet detailing your request. Raffle/silent auction item Requested Value: $ Give-a-ways Quantity requested: # EVENT DETAILS Please tell us about the event you are coordinating. Examples of events include: Festivals, concerts, runs, rallies, and celebrations. (If you are not hosting an event, skip to the next section: PROJECT DETAILS). Event Date Site Address Website Event Name Location Name Anticipated Attendance This event is a free community event. ticketed community event. private event. Please describe your event. How many volunteers/staff will be assigned to managing garbage, recycling, and litter at your event? # How will water and other beverages be served at your event? (check all that apply) Durable dishware Guest-provided water bottles or travel mugs Return to catering/rental company Guests take home Reduce your waste! Promote rewards for guests who bring their own water bottles and mugs. Guests take home Event-provided commemorative cups Provide a collection bin and donate cups for reuse. Plastic bottles, aluminum cans Paper cups, juice boxes Plastic cups, juice pouches “Compostable” cups “Compostable” cups are not accepted at regional composting facilities that process food scraps into compost (mulch or garden soil). “Compostable” cups must be disposed as garbage. Once in the garbage, they will not become compost. Avoid purchasing “compostable” cups and dishware. No water/beverages provided or sold How will food be served at your event? (check all that apply) Return to catering/rental company Durable dishware Paper plates, paper boats, paper napkins Plastic utensils “Compostable” plates, utensils “Compostable” plates and utensils are not accepted at regional composting facilities that process food scraps into compost (mulch or garden soil). “Compostable” cups must be disposed as garbage. Once in the garbage, they will not become compost. Avoid purchasing “compostable” cups and dishware. Packaged snacks No food provided or sold Borrow Clearstrams Clearstreams are available to borrow for community events in Clark County. Call 360-449-8394 or email recyclehelp@wcnx.org to make arrangements. Clearstreams PROJECT DETAILS Please tell us about the project you are coordinating. Examples of projects include: litter clean up, community landscaping, charitable home improvement. (If you are not coordinating a project, skip to the next section: IN-KIND SERVICE REQUEST). Waste Connections will not provide containers for projects that invite the public to dispose of household garbage or recycling. Several community events for disposal of household garbage, recycling, and yard debris are planned each year in partnership with local government agencies. Please check with your City or County for a listing of clean-up events. Project Type litter clean up landscaping/pruning project construction or remodel project Project Date Site Address Website Project Name Location Name Anticipated Attendance Please describe your project. What kinds of garbage will be generated at your event? Garbage examples: litter, construction waste (pvc pipe, painted/treated wood, vinyl siding, drywall…) What kinds of recycling will be generated by your project? Recycling examples: plastic bottles, aluminum cans, construction waste (scrap metal, clean wood, cardboard, concrete...) What kinds of hazardous waste will be generated by your project? (Hazardous waste examples: televisions, computers, paint, fertilizers, pesticides, motor oil, anti-freeze). IN-KIND SERVICE REQUEST Dumpsters and Drop-Boxes For reference. 3-Yard Dumpster 3’ 5’’deep x 6’long x 4’8’’ tall. Capacity=575 gallons 20-Yard Drop-Box Dimensions= 7’6’’deep x 14’ long x 5’6’’tall. Capacity=3800 gallons On the following pages, estimate the amount of material your event or project will produce. The Charitable Giving committee will determine the size and number of containers to be donated based on your estimation. If more containers are desired, your organization may purchase additional service. For events, carefully consider the types of cups, plates, and other packaging you will provide to guests. These items quickly fill space in your garbage dumpsters and drop-boxes. Reduce your need for garbage dumpsters and drop-boxes by using durable or recyclable serviceware. Donations of service are more likely to be awarded to applicants who clearly and thoroughly fill out the next section. Waste reduction efforts and recycling plans will reflect favorably on your event. Will your event or project need hauling service for longer than four days? Yes No If yes, explain how long you’ll need containers and how frequently you’ll need service. Estimate the number of guests each material will be provided to in the “Number of Guests” column. Multiply by the gallons indicated in next column. Write the total in the “Gallons of Garbage Produced” column on the far right for each material. Total that column at the bottom of the table. Charitable Giving will use this estimate to determine the size and quantity of garbage dumpsters/drop-boxes you will need. Garbage Items Cups Paper, plastic and compostable cups Commemorative cups Multiply by zero if setting up a collection station for reuse/donation. Meals Count the number of guests served food with disposable dishware. Snacks Count the number of guests served packaged snacks. Esther Short Park/Public Park Number Multiply Gallons of Garbage of Guests by: Produced # x .25 gal = gal # x.25 gal = gal # x.50 gal = gal # x.1 gal = gal Expect an additional 200 gallons of # garbage per day at busy public x200 gal = days parks. Litter Pick-Up/Community Clean-Up Other Add, in gallons, any other type of garbage at the event. Describe: Total Gallons of Garbage Expected: gal gal gal gal Fill in the table below. Charitable Giving will use this estimate to determine the size and quantity of recycling or composting containers you will need. Multiply Gallons of Recycling by: Produced Mixed Recycling Items Plastic Bottles and Aluminum Cans Cardboard Boxes Esther Short Park/ Public Park Expect an additional 100 gallons of recycling per day at busy public parks. # of guests x .25 gal = gal # of boxes x2 gal = gal # days x100 gal = gal Other Add, in gallons, any other type of recycling at the event. Describe: Total Gallons of Mixed Recycling Expected: Will there be glass wine bottles, glass soda bottles or glass jars at the event? If no, skip to the next table, composting. gal Yes No Multiply Gallons of Garbage by: Produced Glass Recycling Items Glass Soda/Beer Bottles gal # of guests x .5 gal = gal # x.75 gal of bottles = gal Wine bottles Total Gallons of Glass Recycling Expected: gal Composting for food scraps is available to event planners that attend a planning meeting with Waste Connections staff, dedicate volunteers or staff to managing food waste collection at the event, and order food waste hauling service. Will you offer food waste collection at your event? Yes No If no, skip to the next table, Community Projects. Multiply Gallons of Garbage by: Produced Food Waste Food Scraps from Guests # of guests x .15 gal Kitchen Scraps from Vendors = gal gal Total Gallons of Food Waste Expected: gal Community Projects Material Yard Waste Construction and Demolition Recycling Garbage Estimate Amount Collected cubic yards cubic yards cubic yards Initial: I understand, in the City of Vancouver, dumpsters and drop-boxes placed on the street or in a public parking space require a street-use permit. Call public works for information: 360-487-7729 I understand, in the City of Vancouver, I will need a meter hood permit in addition to a street-use permit to place a dumpster or drop-box in a metered parking space. Call parking services for information: 360-487-8656 RECOGNITION Successful applicants will have methods for promoting their sponsors and donors. Please indicate how you can recognize Waste Connections’ contribution to your event. Logo on website Promotion on social media Logo on flyers/print material Inclusion in sponsorship announcements Logo on t-shirts Complimentary passes Amount offered: Other Explain: EMPLOYEE REFERAL Is a Waste Connections of Washington Employee part of your organization? No Yes Name: Role at Organization: Has a Waste Connections of Washington Employee referred you to apply for a donation? No Yes Name: SUSTAINABILITY Applicants taking extra steps to reduce environmental impact at their event or through their community projects are more likely to be awarded donations and services. Describe any additional sustainability efforts planned for your event or taken by your organization. SUPPORTING DOCUMENTS You are encouraged to additionally submit a cover letter, event flyer, or any other documents describing your event and proposed partnership. These materials will help the Charitable Giving Committee consider donating in-kind to your event. NEXT STEPS Requests for monetary donations, raffle/auction items, and give-a-ways will be answered by email or phone using the contact information provided on this application. Applicants will hear a decision in 2-3 weeks. Requests for in-kind hauling service will be answered by email or phone using the contact information provided on this application. If Waste Connections is able to donate in-kind hauling service, you will be contacted by a customer service representative to set up your order for dumpsters/drop-boxes/carts, arrange exact delivery location for the containers at your event site, and to arrange a service schedule. If more containers are desired than awarded by Charitable Giving, your organization may purchase additional service. Call 360-449-8388 to place an additional order. Submitting this form does not guarantee you will be awarded a monetary donation, auction item, raffle item, and/or hauling service for your event. The Charitable Giving Committee will review your request and respond in 2-3 weeks. Questions and applications must be emailed to: ClarkCountyCharitableGiving@wcnx.org.