Leadership Grant Application: LDNBS Action Network
The Leukodystrophy Newborn Screening Action Network wants to support your advocacy. Apply for a Leadership Grant to get funds that will help kickstart your lobbying. We can grant up to $750 to cover costs associated with your advocacy. If you’re lobbying, you might seek funding for: parking, making copies of memos, paying for a babysitter back at home, and more.
Contact Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Application for Grant
Letter of Intent & Budget Proposal
LETTER OF INTENT: In a couple of paragraphs, please let us know why you are applying for a Leadership Grant. Tell us about who you are, where you're located, and what preparation you've been doing so far. Are you working with others? What is your plan for next steps? How else might we support you?
Amount that you are applying for:
ex. $200
BUDGET PROPOSAL: Please list out how you plan to use the funds. The more specific, the better.
Please include a reference or two and their contact information. This should be someone who knows of your work and/or may be participating alongside your efforts. (Name, email, phone)
We may contact these references for more information.
Please reach out to info@ldnbs.org with any questions or inquiries.
Submit
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