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Newly Extended Chapter Loan Application
The Minnesota Women of Today Foundation may issue an interest-free loan up to the amount of two hundred dollars ($200.00) to a new chapter who receives approval from the Foundation's Board of Directors, subject to the recommendation of the State President of the Minnesota Women of Today, co-signature by the president and treasurer of the extending chapter and subject to availability of funds. This loan may be applied for any time in the first five (5) years after charter date.
Use the File Upload field found at the bottom to include the required attachments.
NOTE: this form requires three (3) signatures: one from the Chapter President; one from the Chapter Treasurer; and one form the State President (which will be included after submission). Be sure to have all signatory representatives present when completing this form. Signatures can be done by your mouse, or your finger on a writable screen.
Responses to the online form will be viewed by the State President. Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. (rev 2020)
Chapter Name
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Date of Application
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MM
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DD
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YYYY
Enter Today's Date
Amount Requested
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$
Dollars
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Cents
Charter Date
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MM
/
DD
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YYYY
Chapter President Name
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First
Last
Chapter President Phone
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Chapter President Address
Street Address
City
State / Province / Region
Postal / Zip Code
Chapter President Email
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Loan Purpose
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Describe the purpose for which the loan will be used.
Define your commitment to repay the loan.
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According to Foundation guidelines, the loan must be repaid no later than two (2) years from the date of issue.
File Upload
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Add File
SUPPORTING MATERIAL: Attach a statement/recap of income and expenses since the chapter's charter date or the last two (2) years, whichever is less.
Chapter President Signature
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Clear
By signing your name, you attest that all facts contained in this form and any attachments are true.
Chapter Treasurer Signature
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Clear
By signing your name, you attest that all facts contained in this form and any attachments are true.
State President Signature
Clear
By signing your name, you attest that all facts contained in this form and any attachments are true.
