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.
First Name *
Last Name *
Employee ID *
Phone *
Email *
Home Address *
City *
State *
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip *
How did you hear about us? *
Start Date: *
Title *
Staples Location Address: *
Supervisor/Manager Name: *
Staples Facility
If applying on behalf of another associate, please describe your relationship to this associate:
Manager
Co-worker
HR Representative
Friend/Family
Other
Event Type *
Illness or injury
Death/funeral
Natural disaster
Unemployment
Housing assistance
Domestic abuse
Military deployment
If no, please explain why.
NOTE:
• 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.