Chapter Activity Grant Application

Chapter Grant Application, 2024-25

Before applying, please read the details of Alpha Chi's Chapter Grant Program here.

Select Grant Category*

AcademicServiceSocial Justice and Equity

Amount of Funding Being Sought*

max. $500

Select Primary Event Type*

If your event covers more than one of these, you can delineate below.

Proposed Date for Event*

Date

Describe your proposed event in detail.*

Describe how this activity aligns with this program's purpose.*

Describe the benefits/impact to chapter members, the student body at large, and/or your local community.*

Include how many members/people are expected to attend, participate, volunteer, etc.

What is the proposed total budget for the event?*

This is to be a comprehensive line-item budget of proposed activity costs. If the full budget is over the requested grant amount, please designate which items the funds from AX would help offset and your plans for covering the remaining budget.

Optional: Upload 1-2 additional files like photos or marketing ideas or designs here.

GRANT PROPOSAL SUBMITTED BY:

AX Chapter Name:*

College Name:*

Submitter's Name*

First NameLast Name

Submitter's Email Address*

example@example.com

Daytime Phone Number*

Relationship to Alpha Chi Chapter*

Email Address of Primary Chapter Advisor*

example@example.com

APPLICANT CERTIFICATION

With my initials below, I hereby certify the following:

a) The information in this application is true and correct. I understand that falsification of any information will result in disqualification of this application.

b) I understand that this application will be assessed based on the information provided and submission of it does not guarantee that my chapter will receive a grant.

c) In the event my chapter is a grant recipient, this serves as a release to use my name and proposal information in press releases and/or on Alpha Chi's social media platforms and website for the purposes of promoting this grant program.

d) If any Alpha Chi-granted funds remain after the activity has taken place, I agree to return said funds to Alpha Chi's national office by the end of the semester.

e) It is our chapter's responsibility to submit a post-activity report to Alpha Chi's national office by the end of the semester in which the activity occurs.

Submitter's Initials:*