| This application is a request for financial assistance and must be submitted by the chapter advisor and the chapter president. Local chapters applying for Nancy McKinley grant funds must be in good standing with the National Office. The Executive Council will not consider requests from chapters that are not in good standing. Application Deadline: November 1 for consideration at the fall meeting; March 1 for consideration at the spring. |
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All information concerning this application will be sent to the chapter advisor. Filing Tip: Print this page and compile responses offline in a word processing file. Then return here and paste answers into this form. |
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Contact Information |
| Chapter/University Name |
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| Chapter Address |
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| Office Telephone Number |
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| Fax Number |
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| E-mail Address |
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| Web Site Address |
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Chapter Advisor Information |
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Chapter Officer Information: |
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Timeframe to Consider This Application (Required) NOTE: Fall applications will be reviewed at the NSSLHA Council meeting in November and Spring applications will be reviewed at the NSSLHA Council meeting in March. |
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Region Number (Required) |
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Has this Chapter received a Nancy McKinley (Regional Project) Grant in the past? (Required) |
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If this chapter has received a Nancy McKinley (Regional Project) Grant in the past, please indicate when the grant was received (fall or spring and year). |
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If awarded, the check should be made payable to (Required) |
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Project DescriptionApplicants are required to answer each question in this section. |
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Proposed Name of Project/Conference |
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Expected Date of Activity |
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Provide a clear and concise description of the purpose and objective(s) of the project, including how the project addresses NSSLHA student interests and the intended outcomes of the project. |
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Provide a tentative schedule of activities or topics. |
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List other NSSLHA region(s) involved with this project and/or how they will be notified of this activity (if no other regions will be involved, type "none"). |
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Provide the following estimates of project/conference attendance. |
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| Students (indicate both the number of students and percentage of total) |
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| Non-Students and Professionals (indicate both the number of students and percentage of total) |
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| Total Expected Attendance |
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Describe how the project will be evaluated (e.g., follow-up questionnaire, individual comments/letters, examination, etc.). |
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List all the previous projects carried out by this NSSLHA chapter and indicate the sources of funding (if no other projects have been completed, type "none"). |
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Funding/BudgetApplicants are required to answer each question in this section.NSSLHA funding should be used as bridge funding for projects. This means that grant funds are awarded only to projects that are not able to meet budget projections. Project budgets that reflect a profit potential will not be funded. |
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Describe why you need NSSLHA funding. Provide details on how NSSLHA funds will be used. |
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Specify all the sources of alternate funding and the expected amount from each (e.g., Student Government $300, Lions Club $50, etc.). |
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Submit a Proposed Budget for the Project
Include These Line Items: (enter 0 for any unused budget categories)
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| Publications/Advertising |
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| Postage/Mailings |
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| Guest Speaker Honorarium |
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| Lodging for Speakers |
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| Meals for Speakers |
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| Transportation for Speakers |
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| Space Rental/Project |
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| Space Rental/Project |
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| Equipment Rentals (Projects, Sound Equipment, etc.) |
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| Other Expenses (Specify Expense and Amount) |
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Anticipated Income |
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Amount Desired From NSSLHA |
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