Request for Funding Form

Please complete all required fields in this form and provide your electronic signature in the Signature section.

Once you submit the form, it will automatically be routed to the District Council Chair for their review and signature. You do not need to take any additional steps after submitting. The District Council Chair will receive an email with a secure link to complete their portion.

After both signatures are received, all parties will automatically receive a copy of the completed form for their records.

By Submitting this Form, you understand the Reporting Requirements:

1. Applicants must agree to complete and return the standard Evaluation Form and Request for Reimbursement within ten (10) days of completing the event. Request for Reimbursement forms that are not delivered to IDJC in a timely manner may be declined.
2. Applicants must agree to report to the IJJC or District Council in person, if requested.
3. Applicants coordinating an event or activity for multiple participants must agree to obtain a completed Evaluation Form from each participant and submit it to IDJC with a list of all participants, including email addresses.
4. Applicants attending out-of-state events may be required to provide subsequent training in the district based on information learned at the event.