Educational Seed Funding Grant Application 2020 Survey

1.Volunteer/Chapter/Organization Name:(Required.)

2.Volunteer Coordinator Information:(Required.)

Name

Company

Mailing Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

3.Activity Information:(Required.)

Name of program or event you are requesting subsidy for:

Date of activity or event:

Location of the activity or event:

What is the estimated attendance?

Subsidy amount requesting from IEEE Photonics Society: (amount USD)

Reason for the activity or event:

4.Abstract:(Required.)

Provide a brief description of the proposed initiative to be funded by a one year seed grant. (Not to exceed 100 words).

5.Outcomes, Impact & Metrics:(Required.)

What outcomes do you expect and what are the potential impacts that the IEEE Photonics Society can use to measure success? (Not to exceed 100 words).

6.Form of Payment for Approved Subsidy (select one):(Required.)

Check

Wire Transfer

7.Questions?

Leave a question or comment.