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CORPORATE AND FOUNDATION CLEARANCE REQUEST FORM
Return this form along with your application and direct questions to: MSU Foundation,
Attn: Director of Corporate and Foundation Relations, 1501 South 11th Avenue, Bozeman, MT 59717 Phone: (406) 994-2522
SHOULD YOU GO TO THE MSU FOUNDATION OR THE OFFICE OF SPONSORED PROGRAMS?
Yes - Contact the Office of Sponsored Programs
Are you seeking money from a state, federal or county agency?
No - Proceed with form
If successful, would there be an obligated MSU financial
commitment or liability?
Yes - Contact the Office of Sponsored Programs
Is a contract involved? Does the agency sponsor research?
Yes - Contact the Office of Sponsored Programs
No - Proceed with form
No - Proceed with form
If successful, would there be expectations for a return
benefit or deliverable to the funder from MSU?
Yes - Contact the Office of Sponsored Programs
No - Proceed with form
If there are any questions or if there is any uncertainty regarding whether funding is a gift or a contract, please contact either the Office of
Sponsored Programs or the MSU Foundation Director of Corporate and Foundation Relations
PROPOSAL INFORMATION
Funding Source:
Contact Name & Title:
Address:
(Street)
What type of organization is the funding source?
(City)
(State)
Corporate
(Zip)
(Phone)
Corporate Foundation
Private Foundation
Community Foundation
Family Foundation
Name of submitter:
Amount Requested:
Phone:
College:
Email:
Department:
Purpose:
SIGNATURES
It is the responsibility of the applicant to:
1 Keep the MSU Foundation informed of the progress of
its submission and the outcome of the proposal.
2 Within 6 months of submission approval, develop and
submit final proposal.
3 Attempt not to postpone a submission which may
prevent others from approaching the same funding
source.
Required signatures:
Submitter signature
Department head (or equivalent) signature
Dean (or equivalent) signature
For use by Director of Corporate & Foundation Relations
Date Received
Reviewed by:
Date
Date
Date