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Educational & Professional Development Grant
NOTE:
Applications undergo a blind review process; please omit using personal identifiers in any of the applications fields beyond those in section 1.
Date
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Month
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Day
Year
Date
1. APPLICANT AND EVENT/PROJECT BASIC INFORMATION
APPLICANT NAME
*
APPLICANT EMAIL ADDRESS
*
example@example.com
APPLICANT PHONE NUMBER
LOUD CHAPTER
*
Please Select
Buenos Aires
Bay Area
Central Florida
Chicago
Dallas
Houston
Iquitos
Lima
Los Angeles
New York
Puerto Rico
San Diego
South Florida
Tijuana
United Board
# OF MONTHS WITH LOUD
*
Must have a minimum 1 year within current role
LOUD DIRECTOR ROLE
*
Please Select
President
Vice-President
Director of Operations
Director of Advocacy
Director of Health and Wellness
Director of Marketing
Director of Outreach
Director of Communications
Director of Events
Must have a minimum 1 year within current role
EVENT/PROJECT NAME
*
NAME OF THE CONFERENCE, WORKSHOP, OR INSTITUTIONAL PROGRAM/ORGANIZATION
TRAVEL/EVENT LOCATION (FULL ADDRESS)
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
2. APPLICATION QUESTIONS
A. PARTICIPATION
*
Provide a brief explanation or overall description of the activity or event (50-100 words)
0/100
B. GRANT JUSTIFICATION
*
Provide details as to why you are applying for this grant. If traveling, how will this travel contribute to LOUD's mission? (50-150 words)
0/150
C. MAJOR OUTCOMES and ROI
*
What are the expectactions and prospective return-on-investment outcomes? How can this leadership opportunity empower you and the LOUD board you represent? What can you do to commit to serving LOUD communities, if approved for this grant? (50-150 words)
0/150
D. FOR PRESENTERS/FELLOW/RESEARCHER PROPOSALS
Please provide the title of your abstract, attach a copy to your application submission, and a synopsis of thework for travel. (150 words or less)
0/150
E. ADDITIONAL/SUPPORT DETAILS
Include any additional and relevant information that you wish to provide. (100 words of less)
0/100
3. TRAVEL EVENT/PROJECT COSTS
*Please list all expenditures in U.S. Dollars*
Airfare tickets
Lodging
Related fees
Please describe in the notes section
GRAND TOTAL
*
4. TERMS AND AGREEMENT
Terms and Statements of Acknowledgement
*
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