Grant Submission Form

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Complete the Grant Submission Form

All students are invited to apply for a mini-grant to develop a program or activity that exemplifies the spirit and purpose of Title IX to our community. To apply, scroll down and complete the grant submission form.

Title IX mini-grants will be awarded in the amount of $200.

Please complete and submit the Grant Submission Form to request funding from the Title IX Office.

Contact Information

Name(Required)

First Last

Email(Required)

Email Confirmation?

Please send me an email confirmation when I submit the grant proposal

Name of affiliated student organization(Required)

Is your student group SA Recognized or Funded?(Required)

Yes

Program Information

Proposed Title(Required)

Tentative Date(Required)

Location(Required)

Start Time(Required)

End Time

Describe the program and how it exemplifies the mission to create a consent culture or end sexual violence.(Required)

If you've done a similar program in the past, please include a brief overview of the attendance; impact your program had on participants, and any feedback obtained.

What do you hope that the campus community will gain from participation?(Required)

Financial Information

Include itemized budget below.

Air Fare (optional)

Bus or Train Fare (optional)

Driving - Mileage (Optional)

Driving - Gas (Optional)

Driving - Tolls (Optional)

Lodging (Optional)

Registration Fees (Optional)

Supplies (Optional)

Vendor Services and Space Cost

Venue or Space Cost (Optional)

Event and Classroom Management (Optional)

Marketing or Promotion (Optional)

Music (Optional)

Catering (Optional)

Other (Optional)

Program Cost and Revenue

Total Program Cost(Required)

Grant Amount Requested(Required)

Outside Revenue(Required)

List any outside funds you are receiving towards your program costs. If none put $0.

Name

This field is for validation purposes and should be left unchanged.