Putnam Foundation - 2006 Application for Funding

Organization Information

		Organization Name
		Tax ID
		Street Address
		City / State / Zip Code
		Contact Name
		Work Phone
		Web Site
		Email Address

Your Mission Statement

Please provid your organizations mission statement:


List of Services

Which of these services do you provide?

	Team Sports
List of Team Sports


	Individual Sports
List of Individual Sports


Communities

Please list the communities your organization supports


Description of Financial Need

Please describe the specific need/project of your organization. Ex. How many kids would get funded through this project, scholarship, league/team? As much detail as possible would be helpful. If you have individual cost breakdowns, it would be helpful.


Our Policy

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Our goal is to provide opportunities to as many kids as we can to make sure they have the opportunities. When Accepting funds we will ask the organization for the following: 1. A thank you letter from each child that receives foundation support. 2. A couple of photos from activities at the organization to be used in newsletters, website, presentations, etc. No names will be identified with the children. 3. When appropriate, we would like the Putnam Foundation logo placed on Uniform. 4. Acknowledgement in Organizational publication of partnership. Thank you for completing this application form and for your interest in working with us.

Agreement and Signature

		Signature
		Date