Chapter Programming Grant Application

Chapter Name*

Contact Information

Who should we contact if we have questions about this application?

Name*

First Last

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Event Name*

Amount Requested*

Date

Is this a first-time event?

Please describe the event/program, including the intended audience, mission, purpose and goals.*

For example: How will this event/program promote a welcoming, inclusive environment and work toward engaging a broad range of alumni?

How do you plant to promote and market the event?*

How will the funding be used?*