Deloitte Foundation

1. Adaptive Form Title
2. Organization name*
3. Website*
4. Country of registration*
5. Year established*
6. Adaptive Form Title
7. First name and last name*
8. Job title/role*
9. Email*
10. Telephone
11. Adaptive Form Title
12. Project name*
13. Short project description*
14. Which area does your project address?
15. Location of the project*
16. Adaptive Form Title
17. Has your organization already been a beneficiary of any contribution by the Deloitte Foundation ?
18. Please describe the initiative in a few lines and add any relevant links.
19. What is the expected impact? (Direct and indirect beneficiaries)*
20. In which country is the initiative taking place?
21. Is it a multi-year project?
22. For this project, do you solicit a financial contribution or a support in the form of volunteering hours?
23. If you replied “Donation” please insert the amount and a brief description of the budget/funding use
24. If you replied volunteering, please insert the number of hours/employees needed.
25. Please insert any other relevant information.
26. referrer
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About your organization

Organization name*

Website*

Country of registration*

Luxembourg Belgium France Germany Other

Year established*

Contact person

First name and last name*

Job title/role*

Email*

Telephone

About your project

Project name*

Short project description*

Which area does your project address?

Health and well-being

Education

Gender equality

Decent work and economic growth

Reduced inequalities

Climate action

Art and culture

Location of the project*

Luxembourg or other?

Support requested

Has your organization already been a beneficiary of any contribution by the Deloitte Foundation ?

Yes

No

Please describe the initiative in a few lines and add any relevant links.

What is the expected impact? (Direct and indirect beneficiaries)*

In which country is the initiative taking place?

Is it a multi-year project?

Yes

No

For this project, do you solicit a financial contribution or a support in the form of volunteering hours?

Donation

Volunteering

Both

If you replied “Donation” please insert the amount and a brief description of the budget/funding use

If you replied volunteering, please insert the number of hours/employees needed.

Please insert any other relevant information.

referrer

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