FUNDING REQUEST INTRODUCTION INSTRUCTIONS:

PICOR Charitable Foundation is a professional service organization dedicated to raising funds for distribution to pre-selected non-profit organizations. By its charter, Foundation funds provide assistance for youth oriented projects. We are pleased to invite your organization to complete a funding request application in order to be considered for our 2009 awards. Please complete your request for funding and return it to our office no later than September 30, 2010. Please contact Tom Nieman at (520) 748-7100 with any questions you may have. If you would like a Word 7.0 application e-mailed to you, please contact judy@picor.com. You can also download this application from the links below.

Please complete the attached request for information on your organization and program. You are welcome to attach supplemental information, but we request it be provided in a format that can be copied for the Review Committee.

Thank you for your participation. We appreciate your community efforts.

* required fields
Funding Application:	Word Format PDF Format
* Organization Name:
* Executive Director:
* Office Phone:	Fax Number:
* E-mail:
* Mailing Address:
* City:	* State:     * Zip:
Organization Start Date:	Annual Organization Budget: $
* Has your Organization applied to PCF before?:	Yes   No       If yes, please indicate most recent year:
* Has your Organization been funded by PCF before?:	Yes   No       If yes, please indicate most recent year: Amount?: $
Write a brief description ( no more than 100 words) about your organization and its mission:
Program Information
* Program Name:
Person with Primary Responsibility for Program:
* Amount requested from PCF:	$      Total annual program budget: $
Write a brief description (no more than 100 words) about your program and how funding will be distributed:
* Please fax your organization's IRS 501(c)(3) Determiniation Letter to (520) 546-2799