Environment – Humanitarian and Community Support – Youth development Application Form

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Your association
Your project
Your partnership with AIRBUS Corporate Foundation
Business sector

Environment – Humanitarian and Community Support –
Youth development
Application Form

The application dossiers must be returned only

by e-mail: corporate.foundation.americas@airbus.com

or by post :
Mary Anne Greczyn

Manager - Communications

Airbus Americas

198 Van Buren Street

Suite 300

Herndon, VA 20170

Please submit your project in the application dossier format.

Please use the “Tab” key to move between the fields.

Any additional information that you consider relevant can be added but must not be copied directly into the form.

Note: Application forms concerning the same project but submitted by different

people will not be taken into consideration.
Name of the association :

Country of association registration :

Person responsible for the project :

E-mail :

Phone Number (main line and mobile) :

Project start date (DD/MM/YY) :

Is an Airbus employee involved in the association/organization: YES - NO

Is an Airbus partner linked to this project : Customer - Supplier

Name of your project :

Your project concerns : Environment - Youth development - Humanitarian and Community Support

Country in which the project takes place :
Additional information

If one or more Airbus employees are involved in the project, how many of them are there, and to which Airbus entities do they belong ?

Other useful information :

Has your association/organization ever received support from The Airbus Corporate Foundation ?

YES / NO

If yes, please clarify the date and context :

Your association

*Only one form per association and per quarterly session is permitted

If you are submitting the project on an individual basis, go directly to the heading ‘Your project’.

Association's address (headquarter) :

Post code: Town : 
Association's e-mail : Website : 
Fax: 

Legal status :

Date of creation :

Objectives of the association / organisation (defined in the articles of association) :

Name of the person legally responsible :
Number of employees :
Number of members :
Number of volunteers involved :
Annual budget : €

Association's/organization’s address (local delegation) :

Post code: Town : 
Association's e-mail : Website : 
Fax: 
Date of creation :
Name of the local person legally responsible: 

Number of employees :
Number of members:
Number of volunteers involved :
Annual budget : €

Your project

Only projects concerning one or several of our three themes will be considered.

Present the key aspects of your project

(description, current situation, issues and objectives) :

Any additional information that you consider relevant can be added but must not be copied directly into the dossier.

Who are the project beneficiaries :

How many people are expected to benefit :

Project location(s) :

Number of people (volunteers and employees) from your association involved in its implementation :

Have you already successfully completed a similar or different type of project? (please include elements: press reviews, accounts from beneficiaries, reports, etc.)

If yes, indicate the main characteristics, achievements and media coverage (with figures)

Your timetable – Additional information

Current project progress status :

Project duration :

Finalization date :

Your partnership with AIRBUS Corporate Foundation

Contribution sought from Airbus Corporate Foundation

(check mark against one or several boxes)

Financial

(thank you fill in the “Budget” heading below)

Additional volunteers

Please detail :
How many ? 
Frequency ? 
Profile of volunteers :

Type of missions entrusted :

Material/logistics support

Please detail :

Other

Please detail :

Why do you think Airbus Corporate Foundation should help you ?

Do you undertake to provide a mid-project progress report justifying actions taken and a detailed end of project report?

What communication media and actions do you use to advertise the partnerships and support you benefit from (give media details) :

At the end of the project, do you plan to adapt it to another context (beneficiaries, location, etc.)?

Your budget
If your project is selected, the Foundation’s Selection Committee reserves the right to grant either the sum total or only part of the financial aid requested in the application form.

Total project budget (in euros or equivalent euros):			€
*Amount sought from Airbus Corporate Foundation* : -Could you please how these funds will be used :**			€
Budget already acquired			€
Name of company/ /association/local authorities/other	Business sector	Amount

Thank you provide us an estimated budget of your project

Have you approached other partners that you expect the answer (private companies, local authorities, etc.) ? If yes, which ones ?

Have you specifically approached :

-Other aeronautical companies ?

-Another EADS subsidiaries (EADS Astrium , Eurocopter, EADS Defence and Security, EADS Socata, EADS Sogerma, EADS EFW, Military Transport Aircraft ) ?

LIST OF DOCUMENTS TO BE PROVIDED

Articles of Association

Civil liability insurance number

The association/organisation's forecast budget for the current year (separating revenues and expenditures)

For associations and other organisations: balance sheet and activity report for the two previous years

Presentation brochure for your association/organisation if there is one

Address of your website if you have one and in general any documents that could make your project known.

Requests for application dossiers are computer-processed and transmitted to the AIRBUS company Foundation secretarial office. Unless you specifically request otherwise, your contact details will be recorded and kept by the AIRBUS company Foundation.

In application of the French law of 6 January 1978 relative to data processing, computer files and individual liberties, you have the right to access, modify, rectify or delete your personal data.
To exercise this right, please contact us by mail at the following address :

Airbus Corporate Foundation

PO – BOX B03-A07 -

1 rond-point Maurice Bellonte

31 707 Blagnac Cedex - FRANCE

Made in on

Signature:

We remind you that only projects concerning one of our themes will be considered.

No phone request will be taken into account

V5-16-SEP-08 /

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