Application Form:
Local Section Member Engagement and EnhancemenT (LS-MEET)

Deadline: May 31, 2022, 11:59 pm ET

Select Your Local Section: *

Today's Date: * +

Project Manager Information:

Full Name: *

Address: *

Tel: *

Email: *

Grant Information:

Title of Project: *

Brief Description: *

0/400 characters

Grant Letters of Support:

Submitting a letter of support from the active local section chair is required. If one is not provided through this application, you will need to send it via an email attachment to lsac@acs.org no later than the posted deadline. (If the Section Chair is the Project Coordinator, a member of the Executive Committee must submit the support letter.)

Upload Local Section's letter of support here (acceptable formats: .pdf, .doc, .docx). *

Grant Co-sponsors:

Submitting a letter of support from co-sponsors is required, only if the local section is partnering with one (or more) groups for this grant. If one is not provided through this application, you will need to send it via an email attachment to lsac@acs.org no later than the posted submission deadline.

Which groups are co-sponsors? *

Specify partnership(s): *

0/200 characters

Upload co-sponsor's letter(s) of support here (acceptable formats: .pdf, .doc, .docx). For multiple co-sponsors, please combine support letters into one file and upload it.

Complete Description of Project or Event:

What are the project's goals/objectives? *

0/1000 characters

How do you envision that this event will engage your Local Section members? *

0/1000 characters

How will this project stimulate local section members to become and remain involved? *

0/1000 characters

What is the project's plan of action? Please include probable date(s). *

0/1000 characters

Identify target audience(s) and estimate the number of people to be reached. Estimate the number of members involved in organizing the project. *

0/1000 characters

What impact will this event have on future Local Section activities and events? *

0/1000 characters

Budget:

Please complete the budget table below or attach a budget spreadsheet (option below) of expenses with brief justifications. LSAC can award a maximum of $2,000 (indicate source of additional funds if budget exceeds $2,000). Some items that cannot receive funding are honoraria; full meals for local section members; or passthrough donations to other individuals or organizations. Read more information about budgetary guidelines on the LS-MeeT description page.

NOTE: for this form to calculate correctly, enter dollar amounts without commas and without dollar signs.

Item:

Expense:

Justification:

Item:

Expense:

Justification:

Item:

Expense:

Justification:

Item:

Expense:

Justification:

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Expense:

Justification:

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Expense:

Justification:

Additional funds requested from other sources:

Justification:

Project Total:

$0.00

Total Requested from LSAC:

$0.00

If the spaces provided above are insufficient, please upload a detailed budget spreadsheet to this application.

Evaluation Plan:

How do you plan to evaluate the success of your event? *

0/500 characters

What tools will you use to measure success of event (i.e., surveys)? *

0/500 characters

How will you use the data captured for future planning? *

0/500 characters

Questions? Contact lsac@acs.org

Application Form:Local Section Member Engagement and EnhancemenT (LS-MEET)

Project Manager Information:

Grant Information:

Grant Letters of Support:

Complete Description of Project or Event:

Budget:

Evaluation Plan:

Application Form:
Local Section Member Engagement and EnhancemenT (LS-MEET)