Member Engagement Fund Application Form

APPLICATION FORM - Branch Membership Engagement Funding

Complete this application if you are requesting member engagement funding. Please ensure you keep all receipts to submit to the District Executive Officer for reimbursement.

Click to View: Guidelines and Funding Amounts by Branch

Branch Location*

Name of Applicant*

Branch President(s) (if not the applicant)

Non-board Email Address of Applicant*

example@example.com

Outline the event being planned. Include the number of expected participants, and the anticipated date of the activity. If this is a joint event include details and contact person at other site(s).*

Itemized list of projected expenses*

Date Submitted

Date

Submit this form and please wait to receive approval prior to incurring any expenses.