Join EFC Become a Member Before you apply Thank you for your interest in becoming a member of Environment Funders Canada (EFC). EFC catalyzes funders to respond to environmental crises with ambitious and innovative solutions. Please review our Membership Guidelines and Member Code of Conduct prior to completing this form. Membership Guidelines How to Apply Member Code of Conduct EFC Member Application Please fill out the form as detailed as possible to submit your application. Step 1 of 9 – Contact Information 11% Primary Contact InformationThis Section below is for the primary contact information Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof. Salutation First Last Job TitleEmail(Required) Phone(Required)Secondary Contact InformationThis Section below is for the secondary contact information (Optional).Name Dr.MissMr.Mrs.Ms.Mx.Prof. Salutation First Last Job TitleEmail Phone Organization InformationOrganization Name(Required)Please indicate the category that best describes your organization(Required) Community Foundation Corporation or Corporate Foundation Gov’t/Public Foundation Private Foundation Consultant Government Agency Individual Other Qualified Donee Not-for-profit Organization Vendor Other Donor Advised Fun Grantee Other Address(Required) Street Address Address Line 2 City Province/State Postal Code/ZIP AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Website How many staff do you have?How many are dedicated to environmental funding?What is the source of your donations?(i.e., endowment; grants; gifts from individuals; government; other)Please insert your organization's charitable/business number (if applicable). Member Listing/RecognitionPlease indicate where you would like EFC to list/recognize your organization: Secure members only listing EFC website other EFC public material Other (please specify): Member EngagementHow did you hear about Environment Funders Canada?Which opportunities are you most interested in? Annual Conference Listserv and Website Meeting and Workshops Publications Funder Collaboratives and Interest Groups Networking Opportunities Please let us know if there are additional reasons for wanting to become a member:Are you open to conversation with EFC staff about support for discrete EFC projects that may align with your granting priorities and/or interests?(Required) Yes No Additional ContactsPlease indicate other individuals from your organization who should receive Environment Funders Canada newsletters, program alerts and other information. Participation is open to all staff and board members.Contact 1Name First Last Email Job TitleContact 2Name First Last Email Job TitleContact 3Name First Last Email Job TitleContact 4Name First Last Email Job Title Granting and Endowment InformationPlease indicate your total grants (across all program areas) in Canada in your last full fiscal year:(Required)Enter a numerical value- rounded to the nearest dollar and no punctuation (i.e., 75000). Please indicate your total environmentally-related grants in Canada in your last fiscal year:(Required)Enter a numerical value- rounded to the nearest dollar and no punctuation (e.g., 150000). Please select the types of environmental grants you make:Climate Change Climate Change Conservation Conservation Agriculture and food Food and Agriculture Indigenous-focused Indigenous-focused Nature Education Nature Education Pollution and Toxics Pollution and Toxics Waste Reduction Waste Reduction Please indicate the current value of your endowment (if applicable):Enter a numerical value- rounded to the nearest dollar and no punctuation (e.g., 1800000).Please indicate the current value of other financial assets (excluding endowments):Enter a numerical value- rounded to the nearest dollar and no punctuation (e.g., 1800000). Additional InformationRequired Information. Please upload the following mandatory documents using the fields below: A list of directors/trustees and date of incorporation A list of grants in the previous year ($ and recipients) A Statement of Areas of granting interest. Latest version of Annual Report (if applicable) This information will be shared confidentially with EFC staff and Board for internal use, research, and aggregate statistical purposes only. Document 1 Drop files here or Select files Max. file size: 50 MB, Max. files: 1. Document 2 Drop files here or Select files Max. file size: 50 MB, Max. files: 1. Document 3 Drop files here or Select files Max. file size: 50 MB, Max. files: 1. Document 4 Drop files here or Select files Max. file size: 50 MB, Max. files: 1. Membership Categories and Fee ScaleEFC offers four levels of Sustaining Membership for those members who are able to provide vital, capacity-building support that enables EFC to deliver on its strategic plan and enhance and expand our offerings. TRAILBLAZER – $40K+ Includes 4 complimentary conference passes BUILDER – $25,000 – $39,999 Includes 3 complimentary conference passes CHAMPION – $10,000 – $24,999 Includes 2 complimentary conference passes LEADER – $5,000 – $9,999 Includes 1 complimentary conference pass Sustaining Membership Level(Required)Please select your payment based on the applicable membership category.— Select a Membership Level —Trailblazer MembershipBuilder MembershipChampion MembershipLeader MembershipGeneral MembershipTrailblazer Membership Options(Required)$40k+ (4 complimentary conference passes) 40,000 Other Amount Trailblazer Member Amount(Required)Enter your membership amount if over $40,000 Builder Membership Options(Required)$25,000 – $39,999 (3 complimentary conference passes) $25,000 Other Amount Builder Member Amount(Required)Enter your membership between $25,000 – $39,999 Champion Membership Options(Required)$10,000-$24,999 (2 complimentary conference passes) $15,000 $10,000 Other Amount Champion Member Amount(Required)Enter your membership amount between $10,000 – $24,999 Leader Membership Membership(Required)$5,000 – $9,999 (1 complimentary conference pass) $5,000 Other amount Leadership Member Amount(Required)Enter your membership amount if between $5,000 and $10,000 General Membership OptionsThe fee scale for general membership is based on the annual total environmentally-related grants made in Canada as indicated below. $2,050 – over $1.5 million $1,350 – $500,000 to $1.5 million $685 – under $500,000 Total Amount Due PaymentEFC accepts payments by Electronic Funds Transfer (EFT), wire transfer, credit card, or cheque. (Note: A Staff member will be in contact to process payment after your membership has been approved). EFT Cheque Credit Card Wire Transfer Member Code of Conduct(Required) Our organization agrees to adhere to Environment Funders Canada’s Code of ConductConflict of Interest Policy(Required) Our organization agrees to adhere to Environment Funders Canada’s Conflict of Interest Policy