Apply to Become a Partner Organization

Application Period:  Organizations may submit the Partner Organization Application at any time.

Please complete the following application to be considered to become an approved Partner organization.  Once approved, Partner Organizations will be eligible to apply for our grants awards as they arise. Approved Partner Organizations will also be recognized in The Patrick Spann Foundation’s STEM Heroes Hall of Fame and be eligible to participate in Foundation educational, networking, and other activities.  

Before you begin we recommend that you review the information that is requested.  Also, have the documents that are required with the application ready to upload.

Questions?

Contact Colette Knuth at cknuth@thepatrickspannfoundation.org.

Please enter "not applicable" if a question does not pertain to your organization's services.

Organization:

Year operations began:

Describe the mission of your organization:

Are you a 501(c)3 tax exempt organization? (Yes/No) (Only 501(c)3 organizations are eligible to receive Foundation grants).

What is your organization's EIN?:

Organization Website URL (optional):

Street Address:

City: State:

Zip:

Contact Person:

Phone:

Email:


S E R V I C E S


Mentoring

1. What percentage (%) of your services are in mentoring?

2. Please describe your mentoring activities.

Training

1. What percentage (%) of your services are in training?

2. What number of STEM related courses/programs do you offer?

3. Please describe your technical 21st Century Skills training programs. (21st Century Skills are the personality traits that support learning (i.e., integrity, adaptability, creativity, collaboration).

4. Please describe your career exploration/hands-on work experience programs.

5. Please describe your opportunities for parental involvement.

6. Please describe your curriculum standards.

Community

1. What percentage (%) of your services are in community service?

2. Please describe any social service support systems that are utilized.

3. Please describe your integration with community service in general.

4. How do you involve your students in community service?


R E S O U R C E S


1. What number locations does your organization have?

2. What number of computers/workstations do you have currently?

3. Do you have on-site conferencing capabilities? (Yes/No)

4. Do you have audio/visual capabilities? (Yes/No)

5. What is the ratio of Full time to Part time employees (i.e. 1/10)?

6. Briefly describe your staff roles and staff credentials.

7. What number of volunteers do you have currently?


O U T C O M E S


1. What is your current number of enrolled students?

2. Has your enrollment increased from prior years? (Yes/No)

If available, please provide a brief summary of your metrics:

3. Can you provide evidence of improved grades in school for your students?(Yes/No)

If available, please provide a brief summary of your metrics:

4. Can you provide evidence of an increase in students choosing STEM majors? (Yes/No)

If available, please provide a brief summary of your metrics:

5. Can you provide evidence of an increase in students graduating college in STEM? (Yes/No)

If available, please provide a brief summary of your metrics:

6.Has there been an increase in the number of students working in a STEM occupation? (Yes/No)

If available, please provide a brief summary of your metrics:


D O C U M E N T A T IO N


Please upload the following documents to support your application:

1. Verification of your 501(c)3 status (IRS Letter of Determination)
2. Source/Use Report* or Income Statement
3. Most recent Federal Tax Return
*A source/use report is a nonprofit financial statement similar to income statements in that it is used to list revenue and expenses to calculate the net balance. In source/use reports, sources are revenue and uses are expenses.


UPLOAD YOUR DOCUMENTS

Accepted file types: acceptable file types (extensions) are: jpg, pdf, doc, docx, ppt, pptx. Acceptable file size is 1 MB (1048576 bytes).


S U B M I T
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A P P L I C A T I O N

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