Kiewit Companies Foundation Questionnaire

INVITATION TO APPLY QUESTIONNAIRE

Notations:

Requests to apply are ongoing. There is not a set deadline, however the review process may take up to four months.
Organizations may submit one Kiewit Companies Foundation request per calendar year and/or in the final quarter of their present funding cycle.
All fields are required.

Nonprofit Details

*All fields are required.

Nonprofit name *

Full mailing address *

Address Line 1

Address Line 2

City

State

Zip Code

Tax-ID number (9-digits) *

Attach your organization’s most recent 990 *

Click or drag files to this area to upload. You can upload up to 5 files.

Mission statement *

Primary service area(s) *

Website *

Social media handles *

Nonprofit Staff Information

Contact name *

Title *

Full mailing address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone number *

Email *

Statement of Need

Based on the categories below, please specify the focus area you will be addressing:

Community Building - Programs that make our communities a positive, interesting place to live and raise families.

Workforce Readiness - Programs and services that assist young adults in growing to be responsible, productive members of society. Programs and services that effectively support economic and job growth and development.

Education - Programs and opportunities that provide direct support for science, technology, engineering, and math (STEM) education.

Check all that apply *

Community Building - Arts & Culture
Community Building - Environmental & Animal Welfare
Community Building - Health
Community Building - Human Services
Workforce Readiness - Mentoring Programs
Workforce Readiness - Training (Job Shadowing, Apprenticeship, etc)
Education - STEM Education
Education - K-12
Education - Collegiate

Who all benefits from this funding request? *

Persons with disabilities
Racial, cultural and ethnic minorities
Veterans and/or military personnel
Women and girls

How does your request impact the greater community metro? *

How does your request differ from others in the community? *

Request Overview

What is the timeline of this request? *

What is the budget this request will help fund? *

Attach a detailed budget breakdown *

Click or drag files to this area to upload. You can upload up to 5 files.

What are three outcomes your organization will produce to measure success?

Outcome #1 *

Outcome #2 *

Outcome #3 *

List the specific dollar amount your organization is requesting. *

List the Past Five Years of Funding Support from the Kiewit Companies Foundation

2024 funding support from the Kiewit Companies Foundation *

2023 funding support from the Kiewit Companies Foundation *

2022 funding support from the Kiewit Companies Foundation *

2021 funding support from the Kiewit Companies Foundation *

2020 funding support from the Kiewit Companies Foundation *

List 10 Committed and 10 Pending Funding Sources

Committed Funding Sources

Confirmed Funder #1 *

Funder #1 Amount *

Confirmed Funder #2 *

Funder #2 Amount *

Confirmed Funder #3 *

Funder #3 Amount *

Confirmed Funder #4 *

Funder #4 Amount *

Confirmed Funder #5 *

Funder #5 Amount *

Confirmed Funder #6 *

Funder # 6 Amount *

Confirmed Funder #7 *

Funder #7 Amount *

Confirmed Funder #8 *

Funder #8 Amount *

Confirmed Funder #9 *

Funder #9 Amount *

Confirmed Funder #10 *

Funder #10 Amount *

Pending Funding Sources

Pending Funder #1 *

Pending Amount #1 *

Pending Funder #2 *

Pending Amount #2 *

Pending Funder #3 *

Pending Amount #3 *

Pending Funder #4 *

Pending Amount #4 *

Pending Funder #5 *

Pending Amount #5 *

Pending Funder #6 *

Pending Amount #6 *

Pending Funder #7 *

Pending Amount #7 *

Pending Funder #8 *

Pending Amount #8 *

Pending Funder #9 *

Pending Amount #9 *

Pending Funder #10 *

Pending Amount #10 *

Additional Details

Indicate the name(s) and respective roles of al Kiewit employees involved with your organization. (Example: Joe Smith, board member; Josie Smith, committee member; Jessa Smith, guild member; Jake Smith, event volunteer) *

What additional insight does our committee need to know pertaining this request? *