SAME Resource Request Form

Resource Request Form

Name

First Last

Entity Requesting (C3, Region, Post, Organization)

Description of the Program/Support Requested:

Expected Outcomes/Impacts: What will the program accomplish, what outcome or impact will be achieved?

How Will Outcomes / Impact Be Measured: Describe how this request specifically supports the SAME Strategic plan for your Post Strategic Plan.

Has the event/program taken place in the Past?

Yes

How was it funded?

Has this request been fulfilled by the society or foundation in the past?

Yes

What was the last year that this request was funded?

What was the amount granted?

What was the amount used?

What was the impact?

Total amount or quantity requested:

Upload a basic budget, description of the funding usages such as travel, stipends, materials, software acquisition, contracted support, work hours, etc.

Max. file size: 20 MB.

One-time request or ongoing support: Is the request for a one-time or ongoing program?

Timing for the requested support: When is the support needed and over what period?

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