IIngersoll Rand Em

mployee Volunteeer Program

m

D
Dolla
ars fo
or Do
oers Prog
gram
m
Y
Your Time, Our Moneey. Volunteeer Now! volunteeers who actively engage with locaal nonprofit orgaanizations.
TThe results and satisfaction o f volunteering to help your The Dollaars for Doers proogram increases our commitmentt to local
ccommunity just got
g better. If yoou volunteer moore than 20 hou rs communnities and to em
mployee engageement.
oof your time per year to a qualifyying organizatio n, the Dollars foor
Appliccation Proccess
D
Doers Program will provide a $5000 grant to an alignned community
Please reefer to the criter ia and restrictionns sections to
oorganization of your
y choice. Orr, a $250 grant will be providedd
determinne qualificationss.
too all other eligibble organization s at the requestt of an employe e
who has volunte ered more thann 20 hours per calendar
w c year. Note: Thhe Dollars for D
Doers applicationn can be found oon the
To be considered for a grant, employees
e must meet eligibility Volunteeerism webpage off the Ingersoll Raand Foundation w
website.
reequirements, andd the organizatiion must meet the
t program 1. Fill out the D
Dollars for Doe rs application and send it
ccriteria and restrrictions. to thee Ingersoll Ran d Foundation, C
Community Relaations via
The most up-too-date list of alignned organizations and their ties to fax att 1-866-640-75228, or scan andd email to
Inngersoll Rand caan be found on thhe Volunteerism webpage
w of the volunnteers@irco.com
m.
Inngersoll Rand Fooundation websitee.
2. Community A
Affairs staff willl verify eligibiliity.
C
Criteria 3. Twice a yeaar the confirm
med applicationns will be
D
Dollars for Doeers is only avaiilable to US em
mployees combbined and the Inngersoll Rand FFoundation will distribute a
aand grants can only be awardeed to US organ
nizations. singlee check to the organization al ong with an em
mployee list
of vollunteers.
● Organization must
m be recognizzed as a 501 (c))(3) tax-exempt
organization by
b the IRS, andd provide a W-9 form. Grant a pplications aree due no later than March 1 oor
Septembber 1 of each yeear. Grants to q ualifying organi zations
● The organizat ion must verify the
t employees volunteered
v
will be ddistributed in Juune and Decembber. Employee hhours
hours within the
t current caleendar year priorr to any
distribution o f funds. tracked on VolunteerMaatch will be reseet on Decemberr 31.

● In order to qu alify employees must track theiir volunteer Proceedd to fill out ap plication foun d on My Inger soll Rand:
hours through the user-friendly sooftware available on
o
ingersollrand..volunteermatchh.org. Home > Company In form ati on & SServices > Aboout
Ingersooll Rand > Corrporate Socia l Responsibiliity >
R
Restrictionss Voluntee erism
● Lobbying and political groupss are not eligibl e.
Return filled out fo rm to v oluntee ers @i r co.coo m or fa x
● Organization s that are not open to all peoople, without
to 866-- 640-7 5 28
regard to race, color, creed, seex, sexual orient ation, religion,
disability or national
n origin will
w not be supp orted.
Inngersoll Rand encourages th e efforts of ou r employee

For t eam eve

ents plea
ase refe r to the SPECIA
AL EVENT
TS FORM
MS
Dollars for Doers – Individual Employee Date:

Application Note: A disbursement schedule of

when gifts will be issued can be
found on the foundation's website
Full Name: under the volunteerism page.

Department: Location:

Please list your Business Unit:

Number of hours volunteered within the current calendar year:

Office Phone Number: Alternative Phone Number:

Email Address:

Employee’s Work Address:

City: State: Zip Code:

Have you previously applied for a Dollars for Doers grant for this organization before? __ No __Yes
Applicant must attach a current W9 that is signed and dated from the organization (signature must be dated in this current year).
Please note application will be rejected if a current W9 is not attached with application.

Information of Non-Profit Organization Receiving Matching Grant Funds

(The following information must be provided. All information requested is required.)

Name of Organization:

Tax ID Number (*Also submit a current signed and dated (in this year) W9

Organization Contact:

Street Address:

City: State: Zip Code:

Phone Number: Email Address:

The appropriate person at the non-profit organization must certify the volunteer hours of the applicant listed above by completing and signing the
statement below:

I, _____________________________________________ confirm that _________________________________________________ has performed

(Signature from Representative of Organization) (Name of Ingersoll Rand Employee)

20 volunteer hours or more at the ________________________________________________________________________________ organization.

(Organization's Name)

Fax application to 1-866-640-7528 or email application to volunteers@irco.com

For team events please use the SPECIAL EVENTS FORM

Contact Dollars for Doers program coordinator with any questions at: volunteers@irco.com