Keck : School : Foundation Relations : Applications : Research Requests

How to Apply for a Grant Clearance Requests Research Requests

The Office of Development Research maintains printed and electronic information resources on foundations for the use of all Keck School of Medicine faculty and staff. Please contact this office to arrange an appointment (323) 442-1545.

Please contact the Office of Development, Foundation Relations at (323) 442-2356 to submit your research requests or fill out the research request form.

RESEARCH REQUEST FORM

Prospect Name

E-mail

Address

City
State
Zip

Telephone

Social Security #

USC Affiliation(s)

AIS-D Number

(Choose one)
Individual
Company
Foundation

Research Needed for (choose one):
Call Briefing
Preliminary Evaluation
Cultivation Visit
Solicitation

Specific Information: (please list)

Date Research is Needed (do not use ASAP)

Date of Meeting

In the space below please provide the following information.
Include any information you already have on prospect.

Source of Prospect Name

USC/Hospital Contacts

Relevant Biographical Information

Please Note: All proposals to foundations (with or without budgets) must be reviewed by the Office of Foundation Relations.

CONTACT INFORMATION

Keck School of Medicine of USC
1975 Zonal Avenue
KAM 415
Los Angeles, CA 90089-9032
Phone (323) 442-2340
Fax (323) 442-1250
E-mail kfranco@usc.edu

Kerry Franco
Assistant Director, Foundation Relations