Chapter Activity Fund Grant Application

If you have any questions regarding this application, please contact Anne Daugherty, chapters and circuits manager at (703) 682-7008

or e-mail chapters@fedbar.org

Click here for the Electronic Application

Chapter Applying:___________________________________________________________

 

Chapter Size:____________________________Circuit:___________________________

 

Amount of Grant Sought:_____________________________________________________

 

Purpose of Grant:___________________________________________________________

 

Title: ____________________________________________________________________

 

Proposed Date:_______________________ Place:________________________________

 

Contact Person for more information___________________________________________

 

Address:__________________________________________________________________

 

Tel:___________________ Fax:__________________ Email:______________________

 

Detail specific use of requested grant:___________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

Proposed Budget :_________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

Has the Chapter done this before?_____ When?__________________________________

 

Was it successful?______Explain:____________________________________________

 

Has your Chapter ever received a grant before this program?_________________________

 

Detail fundraising efforts from sources other than CAF:_____________________________

 

Detail other sources of funds that will be used for designated program/event/actiivity:

________________________________________________________________________

 

Chapter President and Chapter Treasurer

 

Name: ______________________________________________________

 

Address: ______________________________________________________

 

City: ______________________________________________________

 

State: ______________________________________________________

 

Zip: ______________________________________________________

 

Tel: ______________________________________________________

 

Fax: ______________________________________________________

 

Submitted to the FBA National Office by Fax/Overnight Mail this _____________ day of

_____________, 200______.

 

Return this application to:

Federal Bar Association

2011 Crystal Drive, Ste. 400

Arlington, VA 22202

Tel: (703) 682-7000

Fax: (703) 682-7001

fba@fedbar.org