Nomination Form

Are you a Ford employee outside of the United States? Do you know of a great project run by an effective organization in a community closely connected with Ford Motor Company? If so, please take the time to tell us about it.

Nomination Guidelines

• Nominated projects should be connected with an established charitable organization able to produce budgets, staff and board members, letters of recommendation, and a track record of success.
• Nominated projects should be closely linked with communities where Ford has major operations.
• Nominated projects must not exist primarily to promote a particular religious viewpoint, and must not discriminate in providing services.
• Nominations can include projects that Ford offices already support. They will undergo the same vetting process and must meet the same requirements as all other projects.
• Nominated projects will go through a selection process involving Ford employees, community leaders, Ford Motor Company Fund, and GlobalGiving, who will work together to ensure that the selection process is fair, objective, and transparent.

Employee Information

Employee Name
Employee Country	Brazil China
Employee ID
Employee E-mail

Organization Information

Organization Name
Organization Mission
Address Line 1
Address Line 2
City
State and Postal Code
Country	Brazil China
Organization Email
Organization Website
Organization Contact
Organization Contact Email
Description of Organization's Project(s)
Employee's Relationship with Organization
Reference Name
Reference Contact Information

In Your Own Words - Please Answer the Following

Why would this organization be an appropriate ambassador for Ford Motor Company?

How do the nominated organization and/or project support a culture of innovation and entrepreneurship?

Please provide any further information about the organization/project that you feel is important.

Privacy Statement: GlobalGiving values you and respects your privacy. We collect information to support our relationship with you, and GlobalGiving recognizes that we must maintain and use information responsibly. We will not disclose the information you submit on this form without your consent, unless: (1) we need to respond to a subpoena, court order or legal process; (2) an emergency situation requires disclosure before your permission can be obtained (e.g., situations involving potential threats to personal safety), or; (3) to protect our rights or property, or the rights or property of another person.