Server: Microsoft-IIS/3.0 Date: Fri, 21 Nov 1997 00:32:31 GMT Content-Type: text/html Accept-Ranges: bytes Last-Modified: Fri, 01 Nov 1996 22:53:00 GMT Content-Length: 12323 Foundation Application Form
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Thiokol Foundation Contribution Request Form

The primary mission of The Thiokol Foundation is to actively support science and engineering programs at selected universities, colleges, and local school districts. Related non-profit scientific or educational endeavors are also of interest to the Foundation.

The Foundation also recognizes the value of supporting organizations that contribute to the quality of life in the communities where Thiokol employees live.

Applications for funding are considered primarily on the following criteria:

The Foundation does not consider requests on an interim basis. All applications are reviewed during the first quarter of the upcoming calendar year for possible funding in the next fiscal year which begins July 1.

1) Organization
     Information

Legal name of organization:

Mailing address:

Briefly describe your organization's function and purpose:
 
 
 
 

2) Requested
    Funding
Total Thiokol Foundation funding
requested by your organization:       $___________________
3) Program
    Description
Briefly describe the program your organization wishes to fund through The Thiokol Foundation.
 
 
 
 
4) Program
    Category
Which category best describes the program you have outlined under item number three?

[  ] Education     [  ] Cultural    [   ] Civic    [   ] Human Services
5) Funding
    Source
What is your primary source of funding?
 
 
 
 
6) Additional
    Funding
Is your organization willing to seek additional funding to match those contributed by the Foundation?

If so, where and how would the matching funds be obtained?
(Do not include funds already collected or anticipated in the normal course of fund raising. "Other funding" in this instance means new money committed to the program outlined in this application).
 
 
 
 
7) Program
    Benefit
Will funding the program benefit the general community?

[  ] Yes    [  ] No


Explain:
 
 
 
 
8) Program
    Report
Foundation recipients must agree to submit a program report at the conclusion of the funded activity, or within one year of the actual contribution. Please describe how you intend to satisfy this requirement.
 
 
 
 
9) Program
    Duplication
Can you demonstrate that your program is not a duplication of other community efforts.

[  ] Yes    [  ] No
Explain:
 
 
 
 
10) Thiokol
      Employee
      Involvement
Are Thiokol employees involved in this program?

[  ] Yes    [  ] No    How Many? _________

How are they involved?
 
 
 
 
11) Individual
      Submitting
      Request
Name:
Title:
Phone Number: (     )       -          FAX Number: (     )       -         

Are you a volunteer or paid staff?       
[  ] Volunteer     [  ] Staff

Date:

Please attach a copy of your I.R.C. § 501(c)(3) IRS exemption letter, your latest financial statement, and if applicable, and an annual budget for your organization. Submit the application to the Thiokol business unit or subsidiary located in your community, or to The Thiokol Foundation, 2475 Washington Blvd., Ogden, Utah 84401-2398.



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