Supplemental Grant
Council and others responsible for event:
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Financial Status of Local Council (amount of money in your treasury: $
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Purpose:
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Type of Program:
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Date(s)/Time:
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Location (Town, County, Building)
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Targeted Population (Teachers, Parents, Administrators, School Board Members, etc.)
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Presenter(s) Name(s) Please * any CCIRA Talent Bank Presentor
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Please mark any of the following expenditures that will be included in the Grant:
Please give the details of the amounts requested for each of the above and the total cost:
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Grant Income and Contributions from Council
Please provide details and amounts for each of the boxes checked above. Also, please include the total income. (Expenditures and Income totals must match)
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If approved, we will need the following information: please provide the council name, council person, address, phone and email.
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