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Apply for a grant.
Federal law prohibits the Staples Cause for Caring Fund from making any grants designed to replace or supplement Staples’ compensation or benefits to its associates, including covering any deductibles from Staples’ plans or lost wages due to a reduction in hours. Due to this law the Staples Cause for Caring fund CANNOT PROVIDE GRANTS TO HELP PAY FOR MEDICAL EXPENSES.
Staples Cause for Caring grants must be for qualifying event, such as an illness or injury, funeral, natural disaster, unemployment, foreclosure or sale of a rental property, domestic abuse, covid-19 job impact, or military deployment and has occurred to you or an immediate family member in the past 6 months.
Every request submitted by Staples, Inc. associates is reviewed.
IMPORTANT: If applying on behalf of another Staples, Inc. associate, please fill out the form using that person's Name, Employee ID, address etc.
District of Columbia
Federated States of Micronesia
Northern Mariana Islands
U.S. Minor Outlying Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Newfoundland and Labrador
Prince Edward Island
How did you hear about us?
Staples Location Address:
If applying on behalf of another associate, please describe your relationship to this associate:
Illness or injury
What is the reason for your request for assistance? Please provide details about qualifying event and how this event impacts you/the applicant financially (1024 character limit).
List any other assistance you/the applicant have applied for, are receiving or have received for this event (e.g., insurance, American Red Cross, Salvation Army, food pantry, etc.).
Explain in detail how you/the applicant will use the grant funds, if received (IMPORTANT: Federal Law prohibits the Staples Cause for Caring from providing grants to be used to pay medical deductibles from Staples’ plans or to cover loss in wages due to reduction in hours. 1024 character limit):
Staples Cause for Caring fund may request additional documentation in support of the qualifying event (ex. receipts, invoices/bills etc.). Will you be able to provide this information?
If no, please explain why.
Are you or the associate you are applying on behalf of willing to share story?
• Staples Cause for Caring may request additional documentation in support of the qualifying event.
• Financial Assistance is at the discretion of the Staples Cause for Caring fund and is not an employee benefit.
• Donations do not ensure eligibility.
By submitting this application, under penalty of perjury, I declare, to the best of my knowledge and belief, that (i) the above stated information is true and correct and (ii) because of the circumstances described in this application, I or the applicant is experiencing a severe financial hardship. Additionally, I authorize Staples Cause for Caring to use this information and other information that it may collect in determining my qualifications for receiving a grant, including disclosing such information to others as necessary outside of the Staples Cause for Caring fund. If I am applying on behalf of another associate. I agree not to disclose the fact that I applied to Staples Cause for Caring on behalf of such associate to others outside of the Staples Cause for Caring fund. I understand that funding from the Fund is not guaranteed or a specific benefit of my employment. Any grant, if made, is from the Staples Cause for Caring and not Staples, Inc. I certify that if a grant is received it will only be used for my expenses incurred in connection with the situation described in this application. I authorize the Staples Cause for Caring fund to disclose my name and grant amount, if a grant is issued, in furtherance of its purposes and legal requirements.
By checking this box, you acknowledge that applying based on false pretenses, or submitting false or inaccurate information, can subject you to employee discipline, up to and including termination.
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