When you are ready to submit, click the "Submit request" button at the bottom of page.
An email message confirming receipt will be sent to you within 30 minutes. We will then continue to correspond with you through email to keep you up-to-date on the current status of your request. Due to the large numbers of requests that we receive daily, we are unable to confirm receipt of individual requests or provide status updates by telephone.
By submitting this application you confirm that you have the authority to submit this request and agree to the conditions described below:
(a) You confirm that all information and materials contained in this application (“Submission”) are true and accurate, and you confirm that you hold sufficient Intellectual Property Rights (defined below) in the Submission to submit them via this portal, free and clear of any encumbrances.
(b) You retain title and full ownership of any Intellectual Property Rights (defined below) in the Submission. However, you irrevocably grant to Roche a limited, non-exclusive, royalty free, worldwide, irrevocable license and right to use the Submission to the extent necessary to administer the processing of your application, and to publicly perform and publicly display the Submission and any materials derived from the Submission. Roche shall have no liability for any Submissions that are lost, intercepted or not received by Roche. Roche assume no liability or responsibility for any error, omission, interruption, deletion, theft, or destruction or unauthorized access to, or alteration of, the Submission. For the avoidance of any doubt, your Submission (and each individual component thereof) shall not be deemed to be confidential.
(c) You acknowledge that Roche retains title and full ownership to all Intellectual Property Rights which: (a) were lawfully possessed by the Roche prior to receiving your Submission; and/or (b) are or have been independently developed by employees, consultants or agents of Roche. You acknowledge that the Roche may be independently developing concepts or applications similar or identical in nature to the Submission or elements of the Submission and you agree that you have no claims to such Intellectual Property Rights. “Intellectual Property Rights” means all copyrights, trade secrets, trademarks, patent rights, Know-How and any and all other intellectual property or proprietary rights now known or hereafter recognized in any jurisdiction. “Know-How” means any invention, discovery, development, data, information, process, method, technique, technology, result, or other know-how, whether or not patentable, and any embodiments of any of the foregoing.
(d) You consent to the use and processing of any personal information collected by Roche in relation to this application for the following purposes: (i) as reasonably required to facilitate the evaluation and processing of your application; (ii) to facilitate internal communication among those Roche affiliates who may have or are interested in current or future business interactions with you or your organization, so that those interactions may be effectively coordinated; (iii) as reasonably required to allow Roche and its affiliates to comply with Roche Group reporting obligations as they may be established from time-to-time; (iv) satisfying legal or regulatory requirements both in Canada and internationally; and (v) storage in databases for use in selecting and evaluating people/organization for support.
(e) You understand and agree that Roche may share information on the outcome of any decision made by Roche in relation to your application within the Roche organization, including with your Roche representative or other field staff.
(f) Should Roche agree to provide support for the initiative proposed in this application, you understand that support will be conditional on (a) you and/or your organization agreeing to abide by the terms of a grant, sponsorship, donation, partnership or other agreement with Roche, and (b) your agreement to complete, on Roche's request, a project or event evaluation after the initiative has taken place.
(g) Should Roche elect to provide support for the initiative proposed in this application, You agree that information about this initiative may be highlighted in some of Roche corporate communication vehicles and, for the purpose of satisfying global policies or obligations relating to transparency, Roche and its affiliates may collect and publish information relating to this initiative, including:
- the name of the Recipient
- a link to the Recipient’s website
- the type of support provided
- a description of the supported project or contracted services
- the amount of financial support
- details of any significant non-financial support
(h) You consent to receiving email notifications regarding this request and any subsequent emails from Roche or its affiliates that relate to this request or any future grants or sponsorships associated with this initiative.