Organizational Enhancement Program
Application Form

Applicants must provide the following information: Date of Request: Organization: Address: City: State: Zip: Telephone: Fax: Email: Name and Title of Representative: Sponsored Project (if applicable): Name and Title of Project Representative: Project Address: Project City: State: Zip: Project Telephone: Project Fax: Event Information: Date: Location(city/state): Title of Workshop/Training: Sponsor: How will attending this Meeting/Training benefit your organization? How many people from your organization plan to attend? Please attach copies of registration materials or brochure Financial Information: Amount Requested: $ Itemized Expenses: Registration Fee Per Person: $ Total: $ Transportation Costs: Auto Expenses: Mileage:    miles x $.320 = $  Rental Vehicle: $ Airfare: $  Other/Explain: Total Transportation Expenses: $ Lodging: $ Meals: $ Other/Explain: Total Expenses: $