Foundation of NACE Speaker Series Chapter Grant Form
Please complete this form to apply for the $500 chapter grant. Please ensure you have read the Signature Speaker Series grant requirements prior to submitting this form
Chapter name
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Has this chapter requested a Signature Speaker Series grant previously this year? (Note: Chapters may only submit for 1 grant per year)
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Yes
No
Name of person submitting this form
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First Name
Last Name
Email of person submitting this form
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example@example.com
Provide Banking Information
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Bank Name
Routing number
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Account Number
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number of person submitting this form
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Area Code
Phone Number
Speaker name
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Date the speaker spoke for your chapter
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Month
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Day
Year
Date
How many people attended the presentation?
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Description of the event (speaker topic, virtual or in-person, etc.)
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Do you have any pictures of the event?
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If you have a second picture, upload here.
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Please include a testimonial about the speaker's presentation.
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Please provide a short testimonial about the Foundation's impact on your NACE chapter.
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Did your chapter recognize the Foundation verbally at the event, on the Chapter website and on social media (logo and tag) #FoundationofNACE?
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Yes
No
Do you have any suggestions for the Foundation of NACE to assist in future education programming?
Your application will be reviewed by the Foundation of NACE and you will be contacted regarding the status of your application. In order to receive a grant, the presentation must be given by a speaker included in the Speaker Series and must happen during the program.
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I agree
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