Region XII Needs-Based Mini Grant Application

Region XII Needs-Based Mini Grant Application

Needs-Based Mini Grant applications are accepted on a rolling basis. Applications will be reviewed by the Region XII Executive Team. Applicants will be notified of the status of their application within 10-15 business days of submission.
Name*

First NameLast Name
Position Title:
Organization or Institution:
E-mail:*
Phone Number:

Area CodePhone Number
Region XII District*
NAFSA Member ID (if applicable):
Event/Project Details
Title of Event/Project:*
Amount requested:*
Funds typically amount to $250 or less. Not to exceed $500.
Proposed start of event/project:*

MonthDayYear
Proposed end of event/project:

MonthDayYear
Which Knowledge Community or Interest Group might be involved with this event/project?*

IEMISSEASIGsMIGsCommunity CollegesDistrictsOther
Event/Project Proposal

Upload a PDF file of your Need-Based Mini Grant Proposal with the following information:
Section 1 - Summary

Please provide a brief summary of the proposed event/project in 50 words or less.

Section 2 - Goals and Objectives

Explain the event/project goals and objectives. Who is the targeted audience? What are the expected outcomes? How will it support the advancement of international education within the region?

Section 3 - Event/Project Activities

Describe the activities planned for the event/project. Include location, dates, and who will participate. If the project will include workshops or training, please attach a copy of the proposed program or schedule. Feel free to include links or upload any items that showcase your event/project.

Section 4 - Event/Project Administration and Timeline

Identify the names, titles, and organizational/institutional affiliation of the project coordinator(s), organizer(s), speaker(s), or trainer(s), listing their responsibilities and qualifications as relevant to this project. Provide a timeline for planning, execution and evaluation of the project.

Section 5 - Need for Funding and Estimated Budget

Why is a Region XII Need-Based Mini Grant being requested? Is funding available from other sources? List expenses and any revenue in your estimated budget. Describe the specific expenses to which this grant will be applied.

Section 6 - Evaluation and Continuation

Please outline the project evaluation plan. How can this project be replicated or used as a model by others in the Region?
Upload file:

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Upload file:

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Signature
I affirm that the information contained in this Application and Project or Event Proposal is true and correct.

I agree to submit a Post-Event/Project Reflection Report to nafsa12chair@gmail.com within 30 days of the event/project date as stated on the grant application.

I understand that funds are disbursed as a reimbursement after the event/project is complete and will need to include receipts.
Electronic Signature:

First NameLast Name
Date

MonthDayYear
Should be Empty:

Region XII Needs-Based Mini Grant Application

Event/Project Details

Event/Project Proposal

Signature