Funding Request Form

Chapter Academic Institution(Required)

Select the Academic institution your chapter is established at. If it is not listed please email national@naamanextgen.org

Primary Contact Name(Required)

First Last

Please input your first AND last name

Primary Contact Email(Required)

Enter Email Confirm Email

This is the email questions and correspondence for the budget will be directed towards. Please use the same email as your NAAMA NextGen account.

Title of Event(Required)

Date of Event(Required)

Requested funds(Required)

Please enter a number greater than or equal to 100.01.

Enter dollar amount of expected expense

Expected number of attendees(Required)

Please enter a number greater than or equal to 0.

Budget Plan(Required)

Please enter Bullet-point breakdown of expenses

Justification of budget(Required)

Please write out a short justification explaining how the funds will benefit NAAMA NextGen members and achieve our mission statement.

Aditional information

Is there any additional information you would like us to know?

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