NOAH Meetup Mini-Grant Reimbursement Form (Post-Event)
Please submit this form within two weeks of your event with receipts attached. Requests without documentation will be delayed. *Please note that reimbursements are based on the approved budget, and itemized receipts are required for all expenses.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization / Affiliation
Event Title
*
Event Venue
*
Event City and State
*
Event Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Number of Attendees
*
Please briefly describe event highlights. Include specific examples of meaningful connections, ideas, or outcomes that emerged from this gathering (e.g., collaborations, new relationships, or follow-up plans). Your reflections help us demonstrate the impact of member-led gatherings and sustain this program in future years.
*
Please submit 2-3 photos of your event.
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Total requested reimbursement amount:
*
Expense details: List description of each expense including dollar amount.
*
Submit your itemized receipts for each expense listed above.
*
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Should be Empty: