AZ AER PROFESSIONAL MINI GRANT APPLICATION
The Arizona chapter of the Association for Education and Rehabilitation of the Blind and Visually Impaired (AZAER) offers a Professional Mini Grant of up to $500 for an AER member in good standing. The grant may be used by an AZAER Division to host a workshop or conference, send a division member to a conference, publish a newsletter, or purchase books or equipment that will benefit division members. Requirements for the grant vary, depending upon the purpose for which funds are to be used, but may include contributing an article to the AZAER newsletter or presenting at an AZAER conference.
Sign in to Google to save your progress. Learn more
Mini-Grant Category *
Required
Applicant's Name *
Membership Number *
Agency Affiliation *
Address *
Phone Number *
Email *
Division *
Amount of Money Requested *
Date Needed *
MM
/
DD
/
YYYY
Money is requested for [Please give a complete outline of the use for the money and the benefit to your division and AZ AER (see Mini-Grant guidelines for assistance). Attach complete budget if money is to be used for Division Workshop: *
I agree to use Mini-Grant funds solely for the purpose as described above. I understand that any unused funds must be returned to the Arizona Chapter of AER. I agree to abide by all Mini-Grant guidelines as outlined in the Policy and Procedures Manual for Arizona AER, including writing an article for AERizona View and/or presenting at a meeting of the general membership of Arizona AER. Type full name below. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Arizona AER. Report Abuse
Google Forms