Apply for a Grant from the Bridgestone Americas Trust Fund

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Who may we contact about this application?

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First Name*

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Last Name*

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Contact's Email Address*

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Phone*

Organization Information

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Organization Name*

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Country*

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Street Address*

Apt./Suite

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City*

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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.

Education

Welfare of Children

Environment and Conservation

Other

Tell us about your organization

What are some of the key accomplishments of your organization?

What are the key objectives of your program?

Who would benefit from your program?

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

Help us understand the level of contribution you're seeking

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

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

Please share some information to help us evaluate need

Current year's operating budget, if available

Tax-Exempt status

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Non-Discrimination

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Who are the members of your Board of Directors?

Member 1

Name

 

Title

Member 2

Name

 

Title

Member 3

Name

 

Title

Member

Name

 

Title

Member

Name

 

Title

Please list other contributors and the amount oftheir donation

Contributor 1

Name

 

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 Fun committee, which meets several times throughout the year. Subsequent to the review, applicants will be notified of the committee's decision