IPCF GRANT PROPOSAL REQUEST FORM

IPCF GRANT PROPOSAL REQUEST FORM

Serving the counseling profession since 1988
GRANT PROPOSAL REQUEST FORM
The Indiana Professional Counselors Foundation invites proposals for grants from the Indiana counseling associations and its members to support the work of the profession, the associations and its members. The Indiana Professional Counselors Foundation is a collaborative project between the Indiana Counseling Association and the Indiana School Counselor Association, with representation of both Associations to review grant proposals.

Grant proposals can only be submitted by graduate students currently enrolled in an Indiana university counseling graduate program. Graduate students applying for a grant must also be an active member of the Indiana Counseling Association or the Indiana School Counselor Association.

In the past IPCF grants have supported
- conference and workshop speakers
- graduate student scholarships
- association awards
- graduate student attendance at conferences
- special projects and the like
The foundation hopes to award four $500 grants each year. All grant proposals for 2021 are due by May 1, 2021.
CONTACT INFORMATION
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Primary Phone Number *
Please enter a valid phone number.
Email *
example@example.com
University/School Affiliation *
Professional Association Affiliation *
Today's Date *

Month Day Year
Date
Please state the purpose of your grant *
PROPOSAL IS FOR CALENDAR YEAR(S) JANUARY 1, 20_____ TO DECEMBER 31, 20_____. *
PROPOSAL IS FROM (IF NOT FROM AN INDIVIDUAL)
DATE BOARD OR REGION APPROVED (IF NOT FROM AN INDIVIDUAL)

Month Day Year
Date
AMOUNT BEING REQUESTED: *
IF GRANTED, CHECK SHOULD BE MADE PAYABLE TO: *
IF GRANTED, BY WHAT DATE ARE THE FUNDS NEEDED?

Month Day Year
Date
WHAT MATCHING FUNDS, IF ANY, ARE INVOLVED?
SIGNED:

Clear
Send all correspondence to: Anthony McCrovitz, IPCF President, 621 Broadway, Chesterton, IN 46304. amccrovitz@qualityoflifeinstitute.org or Allen Hill, ISCA Executive Director, 8941 Cockerham Circle Indianapolis, IN 46278, iscaexec.director@gmail.com, 317-941-6125 Google Voice Number.
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IPCF GRANT PROPOSAL REQUEST FORM

GRANT PROPOSAL REQUEST FORM

CONTACT INFORMATION