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Chapter Reactivation Reimbursement Application
To be completed by and reimbursed to the reactivating chapter or team. The Minnesota Women of Today Foundation has funds available to assist chapters/districts/teams with a reactivation. Up to $150.00 per reactivation can be applied for. The following guidelines must be met in order to qualify:
1. An Intent to Reactivate Form must be on file with the Minnesota Chapter Management Vice President.
2. The reactivation must be completed, new member names sent in, and dues paid.
3. The application must be complete and must be filed within sixty (60) days of completion of the reactivation.
4. Original receipts must accompany this application.
5. Applications will be approved at the discretion of the state president, chapter management vice president and the Board of Directors of the Minnesota Women of Today Foundation.
Use the File Upload field found at the bottom to include the required attachments, if it appears.
Responses to the online form will be viewed by the State President, Chapter Management Vice President and the MNWT Foundation President by due date. Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. (rev 2015)
Applicant & Chapter Information
Your Email
*
Applicant Name
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First
Last
District
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Please select
District 2
District 3
District 4
District 5
District 6
District 7
District 8
District 10
District 11
Chapter Name
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Reactivated Chapter Name
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Reactivation Date
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MM
/
DD
/
YYYY
Reactivation Chair Name
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Budget
Financial Information
I wish to enter my information into this form.
I will upload income and expense information related to the extension.
INCOME: Chapter/District Appropriation
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$
Dollars
.
Cents
Enter zero if these funds are not available to you
INCOME: Other Donation/Sources
*
$
Dollars
.
Cents
Enter zero if these funds are not available to you
Description of Other Donation/Sources
*
EXPENSES: Phone calls
*
$
Dollars
.
Cents
Enter zero if these funds are not available to you
EXPENSES: Postage
*
$
Dollars
.
Cents
Enter zero if these funds are not available to you
EXPENSES: Copies
*
$
Dollars
.
Cents
Enter zero if these funds are not available to you
EXPENSES: Room Rent
*
$
Dollars
.
Cents
Enter zero if these funds are not available to you
EXPENSES: Publicity
*
$
Dollars
.
Cents
Enter zero if these funds are not available to you
EXPENSES: Other Expense(s)
*
$
Dollars
.
Cents
Enter zero if these funds needed by you
Description of Other Expenses
*
File Upload
*
Add File
Upload your budget
