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* 1. Peer Network Name

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* 2. Event Title

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* 3. Start Date and Time

Date
Time

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* 4. End Date and Time

Date
Time

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* 5. Time zone of event.

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* 6. Event Description (Meeting descriptions will be posted on the PEAK registration website to help promote upcoming events and share programming.)

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* 7. Event Objectives, what can participants expect during this event?

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* 8. Which of PEAK Grantmaking’s five Principles resonates most with your meeting? (Please select one.)

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* 9. If applicable, share the speaker's:

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* 10. If applicable, share the second speaker's:

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* 11. If applicable, share the third speaker's:

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* 12. Location

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* 13. If applicable, share in-person event information:

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* 14. Will there be a sponsor or host? Please let us know if any organization(s) are covering the costs of the venue, meals, beverages, etc.

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* 15. If this event is being sponsored or receiving a donated space or materials, please share the organization's name and who the in-kind donation acknowledgement and thank you letter should be addressed to.

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* 16. Will there be catering?

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* 17. If applicable, share the preferred caterer's information.

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* 18. Are there any capacity restrictions?

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* 19. Will you be requesting pre-approval for speaker honorarium or reimbursement for any expenses for this meeting?

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* 20. Are there any supplies requested for this event?

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* 21. For chapters only, is there any reason that this meeting should be limited to your chapter members only? If so, please share.

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* 22. Is there anything else that should be noted about this event?

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* 23. What is your name?

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