LL - Form CE-1 Civic Education Grant Request

LL - Form CE-1 Civic Education Grant Request

This form is specific for the Civic Education Grant, and is separate from the application to withdraw funds from your local League's LWVWA Education Fund Account. To request funds from that account for a project, please complete and submit the "Form A - Local League Education Fund Project Approval Request.".
Instructions: Please complete all required fields of this form to apply for funding from the LWVWAEF Civic Education Fund. Please review the Education Fund Handbook.
Date*

MonthDayYear
Date
Name of League*
Type of Project*

New ProjectContinuing ProjectChange in Existing Project
Local League Project Contact
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Local League Treasurer

Checks will be mailed to this person's address.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Project
Project Title*
Project Description*
Project Timeline*
Anticipated Completion Date*
Please list your plans for execution below - including how this project will meet any of the target goals for innovation listed in the guidelines:
Execution Plans*
Please note: Credit for League of Women Voters of Washington Education Fund financing must appear on any publication, conference program, publicity or any other printed material associated with this Civic Education Grant-funded project. Example:
“Published by the League of Women Voters of ___________ and funded (or partially funded) by the League of Women Voters of Washington Education Fund.”
Schedule for Disbursement*
Income
Portion requested from LWVWA/EF Civic Education Fund ( up to $2,000)*
Local League’s contribution: Portion from local League's operating funds*
If none, enter zero
Local League’s contribution: Portion from local League's Education Fund Account. [If you intend to use local League Ed Funds, you must also complete Form A.]*
If none, enter zero
Amount from fees or sales*
If none, enter zero
Amount from other income
If none, enter zero
Describe source(s) of Fees, Sales, and/or Other Income
TOTAL INCOME $*
TOTAL INCOME $
Expenditures
Printing Expenses
Postage Expenses
Supply Expenses
Meeting Expenses
Overhead Expenses (at or below 20% of estimated expense allowed; see page 6 of handbook for detailed explanation)
Volunteer Expenses
Other Expenditures
If Other Expenditures, Please Describe
TOTAL ESTIMATED EXPENDITURES
Local League President Approval
President has approved this request
Name of Local League President*

First NameLast Name
Email*
Does the President participate in the monthly state-wide Presidents calls?

yesno
Who is your MELD representative?

First NameLast Name
Does the MELD representative participate in the monthly MELD Pod calls?

yesno
Form #CE2, Civic Education Grant Final Report must be submitted to Ed Fund Treasurer when project is completed.
Should be Empty:

LL - Form CE-1 Civic Education Grant Request

Local League Project Contact

Local League Treasurer

Project

Income

Expenditures

Local League President Approval