IAP Education Funding Request Form

Application For Division or Assembly Initiative

Funding Support Request - IAP CENTRAL EDUCATION COMMITTEE
Name

First NameLast Name / Surname / Family Name
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
IAP Division/Assembly
Division/Assembly or personal initiative
Meeting/Event or Ambassadorial Activities
Meeting/Event Title
Country
Activity Date(s)
Location or Venue Address(es)
Describe the program and speakers for the meeting/event, or ambassadorial activities. Please provide details.
Letter of support from the Division/Assembly (Please upload Word or PDF doc)

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Upload Meeting Program or other supporting documents (optional)

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Funding Requested Itemized Details: