AHTA Application For Emergency Medical Services and Paid Position Funding
Applications for emergency medical services and paid position funding must be received by the AHTA President by December 15th of the year prior to the year money is requested for. Money granted to Events will be paid upon receipt of a report and invoices detailing how the grant was spent. 


Any questions please contact ahtapresident@gmail.com
Sign in to Google to save your progress. Learn more
Email *
Name Of Event Site Requesting Funding: *
Organizer Name: *
Organizer Phone Number: *
Email Address: **** This is the email we will be contacting you with funding approval or questions, please make sure it is one that is monitored over the winter. *
Year Funds Requested For: *
Event Dates: *
Please describe in detail the emergency medical services you will provide and the paid position you wish to receive funding for. Please list costs as well. *
Amount of Total Funding Support Requested: *
Please sign your full name (first and last) to submit this form. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Hardsundesign.com. Report Abuse