Apply for a Grant from the Bridgestone Americas Trust Fund

*Required fields
Thank you for your submission.
We're unable to process your application at this time. Please try again later.
aoda
This is a required field.

Our organization is:*


Who may we contact about this application?

This is a required field.

First Name*

This is a required field.

Last Name*

This is a required field.
This email format is invalid!

Contact's Email Address*

We will not share, exchange, or sell your email
This is a required field.
This phone format is invalid.

Phone*

Organization Information

This is a required field.

Organization Name*

This is a required field.

Country*

This is a required field.

Street Address*

Apt./Suite

This is a required field.

City*

This is a required field.
This zip code format is invalid.

ZIP Code*

We consider contributions to a variety of causes and organizations. Categories we consider regularly are listed below. Please select all that apply to your organization or program.

This is a required field.

Education*

This is a required field.

Welfare of Children*

This is a required field.

Environment and Conservation*

This is a required field.

Other*

Tell us about your organization

This is a required field.

What are some of the key accomplishments of your organization?*

This is a required field.

What are the key objectives of your program?*

This is a required field.

Who would benefit from your program?*

This is a required field.

What method(s) would you use to evaluate the program's success?*

Help us understand the level of contribution you're seeking

This is a required field.

What dollar amount are you seeking in relation to the total need?*

This is a required field.

How would your organization use Trust Fund money? (Be as precise as possible)*

Please share some information to help us evaluate need

This is a required field.

Current year's operating budget, if available*

Tax-Exempt status

This is a required field.

Non-Discrimination

This is a required field.

Who are the members of your Board of Directors?

This is a required field.

Member 1*

Name*
This is a required field.

 

Title*

Member 2

Name

 

Title

Member 3

Name

 

Title

Member

Name

 

Title

Member

Name

 

Title

Please list other contributors and the amount oftheir donation

This is a required field.

Contributor 1*

Name*
This is a required field.

 

Amount of Donation*

Contributor 2

Name

 

Amount of Donation

Contributor 3

Name

 

Amount of Donation

Contributor 4

Name

 

Amount of Donation

Contributor 5

Name

 

Amount of Donation

If benefits are involved, please describe the breakdown of deductible vs. non-deductible portions

Proposals meeting basic criteria requirements are held for review by the bridgestone Americas Trust Fund committee, which meets several times throughout the year. Subsequent to the review, applicants will be notified of the committee's decision.