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Grant Request Application
Questions? Please contact Ivan Schwartz at: (804) 378-0017 or vapva.ivan@gmail.com
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Name
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Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Phone
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Your answer
E-Mail
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Your answer
PVA member status
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Member
Associate member
What event are you requesting the grant funding for?
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Your answer
What is the location of the event?
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Your answer
When is the event?
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MM
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DD
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YYYY
What is the grant amount you are requesting?
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What will the grant cover? Check all that apply.
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Travel
Hotel
Meals
Registration fee
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Have you applied for other grants to help with the cost of the event?
If yes, please explain those other grant sources below.
If no, please type N/A in the box.
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