Travel Stipend Application - MYR 2017
The Ad 2 National Executive Committee awards local chapters travel stipends to help decrease the cost of sending representatives to the 2017 Ad 2 Mid-Year Retreat hosted in Minneapolis, MN on November 3-5.

DEADLINE: Applications must be submitted using this form by 8/25.
DECISION: The Executive Committee will share results on or before 9/1.

Questions? Email Allison Farris, Treasurer@ad2.org.

CONTACT INFORMATION
Club Name
Your answer
Club Contact Name
Your answer
Club Contact Email Address
Your answer
Club Contact Phone Number
Your answer
BACKGROUND INFORMATION
What year was your club founded?
Your answer
What is your club's current membership count?
Your answer
What was your club's membership count for the 2016-2017 club year?
This number was reported to Ad 2 National in January 2017 to determine your club's dues.
Your answer
What is your club's budgeted INCOME for the 2017-2018 club year?
Your answer
What are your club's budgeted EXPENSES for the 2017-2018 club year?
Your answer
Which previous years did your club send representatives to MID-YEAR RETREAT?
Please, select all that apply.
Required
Which previous years did your club send representatives to ADMERICA?
Please, select all that apply.
Required
TRAVEL INFORMATION
Clubs are only reimbursed for travel expenses. This section will help us understand the costs specific to your club. Please be as accurate as possible.
Who will be representing your club at Mid-Year Retreat?
Please select all that apply
Required
What will be your club's cost of airfare per person (or gas milage if driving)?
We use this information to understand the unique cost incurred by each club traveling in from their respective city.
Your answer
Based on the number of representatives your club will send to MYR, how many hotel rooms will you need?
We use this information to understand the total hotel cost for each club.
Your answer
How much is your employer able to contribute to travel costs?
If your employer is unable to contribute please put "$0.00" in the space below.
Your answer
How much is your AAF Chapter or District contributing to travel costs?
If your district or affiliate club is unable to contribute please put "$0.00" in the space below.
Your answer
Why does your club need travel support to attend Mid-Year Retreat?
Your answer
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