Professional Development Mini-Grant Request Form

Applications are accepted on a rolling basis. Preference will be given to requests for matching grant support. Generally, a response is given within 21 business days. A post-training report is required within 1 month of completion of the training.

*required fields
Organizational Information
Organization Name*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Executive Director's Name*
First Last
Executive Director/CEO Email Address*
An email will be sent to the Executive Director/CEO for approval.
Training Recipient's Name*
First Last
Training Recipient's Title*
Phone*
Email*
Grant Request
Please provide complete and detailed, yet succinct answers to the following requests. One application is required for each individual training recipient.
Briefly describe the proposed professional development opportunity.*
How will this career development experience enhance your professional capabilities and further your organization’s work in the community? Describe how the training may be transformative to your professional growth and/or the organization.*
When will this training occur?*
What is the total training cost?*
Funding requested*
grant request maximum of $7,500
Please attach a short budget detailing costs associated with the professional training.*
Max. file size: 2 MB.
Please attach additional information, such as a brochure, etc.
Max. file size: 2 MB.
Signature: Training Recipient*
Date*
MM slash DD slash YYYY

Organizational Information