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Application for Chapter Training Grant (Maximum $200 per chapter/per year)

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NYWEA
525 Plum Street, Suite 102
Syracuse, NY 13204

Please attach your program when mailing in this application.

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Applicant Information
Name *
Address *
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Grant Request
Chapter *
Training Date * (enter in m/d/yy format)
Training Location *
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Subject Area *
Please attach your program when mailing in this application
Estimated Attendance *
Nature of Expenses *
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Speaker (Honorarium) *
Enter dollar amount
Material, Handouts, etc. *
Enter dollar amount
Meal Subsidy *
Enter dollar amount
Additional Costs
Other costs directly related to training activity
Explanation   
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Total   
Enter dollar amount
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