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* 1. Please indicate which category your chapter's FBD project falls under:

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* 2. University/College Chapter:

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* 3. Select the most appropriate topic area that applies to your project:

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* 4. Please include full name and email addresses of each FBD team member at your chapter:
*NOTE- If your project is an engagement project, please list your team members below*

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* 5. In 200-500 words, tell us about your chapter's project:

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* 6. Describe your team:

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* 7. Take a moment to describe your team's overall goals from participating in this project:

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* 8. Is your chapter interested in receiving grant funding for your project?
*Grants will be distributed dependent upon availability. FBD Director attendance at Grassroots is required in order for a program to apply and receive grant funding to help implement their project. If you select yes, we will be sure to forward along the grant application. Please be sure to include your email address above. 

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* 9. Please feel free to upload images associated with your project:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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