AA District 17 GSR Hybrid Equipment Grant Application
Meetings located in the AA, Southern California, Area 93, District 17* are invited to apply for a Hybrid Grant Application to aid in making their meetings Hybrid (partially in person, and concurrently, partially on Zoom).
If your group is in District 17 and wants to go hybrid but would like financial assistance to cover some of the equipment costs (or if you have already purchased equipment and would like to be reimbursed), District 17 GSR's have decided to reallocate a small surplus to provide A.A. meetings in the 17th District with funding toward allowing your meeting to go hybrid.

APPLICATION GUIDELINES:

Meetings are encouraged (although not required) to connect with other meetings at the same location and share hybrid equipment, assuming that can be done in an efficient and secure manner.

Meetings may apply for one grant per meeting. If you're going to potentially share equipment with other meetings at your same location, please have each meeting fill out a separate application form (and make note of this).

If your application is approved, you will need to provide a receipt for equipment purchased.

Should your application be approved you have 5 business days to respond confirming your acceptance of this grant. Should you fail to respond to our outreach and confirmation we will proceed reallocating the grant to another group.

The HEG will be available until funds run out and will be allocated on a first come first served basis.

Thank you for giving us the opportunity to be of service.



*(More information about District 17, in Area 93, shown below; you can also learn more here http://www.district17aa.com/about-district-17.html. If you have questions as to whether your meeting is located in District 17, please call SFV Central Office at 818-123-4567)


Please note we keep all of your personal information collected here confidential and it will not be distributed to any third parties.


Sign in to Google to save your progress. Learn more
Email *
District 17 represents A.A. groups in North Hollywood, east Sherman Oaks, Toluca Lake, Studio City, Sun Valley, Universal City and Van Nuys. Learn more at http://www.district17aa.org/about-district-17.html
Meeting Name, Date + Time *
Meeting Number (if you do not know you can put "don't know" or call CC to learn your meeting number) *
Physical Meeting Location (name + address) *
Your Name (First + Last) *
Your Phone Number *
Your Email *
What is the best way to contact you? *
What is your position in your group? *
Do you have authorization to reach out on behalf of your group to fill out this application? *
Who is your meeting's GSR? *
Who is your meeting's Treasurer? *
Treasurer's Phone Number *
Please Note: Your treasurer may be required to correspond with us to transfer funds should your application be accepted.
Your group treasurer should be made aware of this + be readily available as needed.
What Hybrid Equipment do you need this grant for? Please provide a full list. *
How much is your group applying for? *
What other meeting would you share this equipment with? (If none write none) *
Any other general comments or information? *
Please note, should your meeting accept a grant and later decide to abandon a hybrid meeting model, we do recommend donating it to another group in need or contacting us or SFV Central Office to see about giving any residual equipment to another group in need. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy