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ET Perry Centennial Chapter Grant Application
Home
ET Perry Centennial Chapter Grant Application
ET PERRY CENTENNIAL CHAPTER GRANT APPLICATION FORM
Applicants are to provide the following information:
Date of Application
*
Chapter Information
Name of Chapter
*
Central Library
Allied Gardens/Benjamin
Balboa
Carmel Mountain Ranch
Carmel Valley
City Heights/Weingart
Clairemont
College-Rolando
Kensington-Normal Heights
*La Jolla/Riford (separately incorporated)
Linda Vista
Logan Heights
Mira Mesa
Mission Hills-Hillcrest Knox
Mission Valley
Mountain View/Beckwourth
North Clairemont
North Park
North University Community
Oak Park
Ocean Beach
Otay Mesa-Nestor
Point Loma/Hervey
Rancho Bernardo
Rancho Peñasquitos
San Carlos
San Ysidro
Scripps Miramar Ranch
Serra Mesa-Kearny Mesa
Skyline Hills
Tierrasanta
University Community
University Heights
Valencia Park/Malcolm X
Number of Board Members
*
Number of Volunteers
*
Number of Members
*
Contact Information
Contact Information for Primary Person for Grant Application
Contact Name
*
Contact Name
First Name
First Name
Last Name
Last Name
Contact Phone
*
Contact Email
*
Confirm Contact Email
*
Application Information
Amount Requested
*
Have other funding sources been pursued, such as matching funds, Chapter funds?
*
Please explain
Area(s) in which support is needed
*
Board Recruitment
Membership Recruitment
Publicity/Communication
Effective Fundraising
Team Building
Website Development
Other (Please describe)
Other (Please describe)
Funding of events and programs not covered.
Narrative
Narrative to include descriptions of what issues the chapter would like to address, how much money the chapter is requesting, how the chapter plans to use the grant funds received and what outcomes are expected to be achieved. Please attach a narrative document to this application or fill-in above.
Optional Upload Narrative Document
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Any additional information
Any additional information to support the application the chapter feels would be helpful to the Committee in considering the application. Please attach a document to this application or fill-in above.
Optional File Upload for Additional Information
Drop a file here or click to upload
Choose File
Maximum file size: 516MB
Contact Information for Chapter President
Only include if the chapter president is not the primary person listed above. To be used to confirm that the president acknowledges chapter’s participation in activities related to an ET Perry Centennial Chapter Grant.
President Name
*
President Name
First Name
First Name
Last Name
Last Name
President Phone
*
President Email
*
Confirm President Email
*
Submitting Application
Please Check
*
This application has been approved by the Chapter board.
Applicant certifies that the information on this application is accurate.
Application Signature
*
Signature of Primary Person for Grant Application
Captcha
Submit
If you are human, leave this field blank.