Student Grant Application
Please submit this completed form to your campus coordinator no later than 10 days before the event/ program
What organization is this event for? And at what university? *
Your answer
Name of person completing this form *
Your answer
Phone number *
(555) 555-5555
Your answer
Where should we mail the check? To whom should the check be addressed? *
Your answer
What name should go on the check?
Your answer
Event/Program Details
Event title *
Your answer
Scheduled date of event *
MM
/
DD
Please provide a brief synopsis of the event/ program. What is the focus? *
Your answer
What are your anticipated goals and impact of the event / program? *
Your answer
What audience are you targeting with this program? *
Be specific
Your answer
Please provide a detailed timeline for designing, implementing and marketing your event / program: *
Your answer
Will you be working in partnership with any other organizations of student groups on campus to develop and implement your Israel program? *
If so, please list them
Your answer
Will you be receiving funding from any other sources [on-campus or off-campus]? *
If so, please specify sources and amounts.
Your answer
Your answer
What is the total cost of the event/ program? *
Your answer
How much funding are you requesting in this grant request? *
Not to exceed $1,500
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms