EmailMe Form - Chapter Reactivation Grant Application

Chapter Reactivation Grant Application

The MNWT Foundation may issue a grant to match up to $200.00 of a reactivated chapter's funds earned from a chapter fundraiser(s). All grants are subject to the approval of the MNWT Foundation's Board of Directors and must have the recommendation of the State Chapter Management Vice President. The grant application must be received within six (6) months of a chapter's reactivation date.

NOTE: this form requires two (2) signatures: one from the applicant, and one from the State Chapter Management Vice President (CMVP). After submitting this form, it will be sent to the CMVP for his/her signature. Signatures can be done by your mouse, or your finger on a writable screen.

Use the File Upload field found at the bottom to include the required attachments.

Responses to the online form will be viewed by the State Extensions Director, and the MNWT Foundation President by due date. Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. (rev 2015)

Applicant Information
Your Email *
Chapter Name *
District *
Chapter President Name *
Chapter Address

Street Address City State / Province / Region Postal / Zip Code
Chapter President Phone
### - ### - ####
Amount Requested *
$ Dollars . Cents
Enter zero if these funds are not available to you
Reactivation Date *
MM / DD / YYYY
Event Information
Need Statement *
Explain why you need the grant and what you plan to do with the funds; be specific (i.e., to offset the cost of legal paperwork, to copy and mail chapter newsletter, etc.)
Ways & Means Projects Held *
List ways and means projects already held, including details of income and expense (upload files if necessary)
Ways & Means Projects Scheduled *
List dates and descriptions of scheduled ways and means projects
Monetary Donations *
List any monetary donations received; how much and from whom; how were the funds used; if you have not received monetary donations, enter "none"
Additional Explanations
Does your district have a provision in its by-laws to provide a grant to reactivated chapters?
Yes
No
File Upload *

Add File

Attach a financial statement of income and expenses since the chapter's reactivation date
Chapter President Signature *
Clear
By signing your name, you attest that all facts contained in this form and any attachments are true.
State Chapter Management Vice President Signature
Clear
By signing your name, you attest that all facts contained in this form and any attachments are true.