Circle of Giving - 2015 Chapter Application

The Circle of Giving grant is an opportunity for your chapter of Pi Kappa Phi to financially impact a local organization serving people with disabilities with whom your chapter visits regularly throughout the year.

To be eligible for a Circle of Giving grant, a chapter must fundraise at least $1,000 a year and have an active volunteer relationship with a local organization that serves people with disabilities.

Circle of Giving grants will be awarded based on a chapter's overall involvement with The Ability Experience including, but not limited to, chapter fundraising total, number of members participating in a national Ability Experience event and interaction with your local partner organization.

APPLICATION DEADLINE: FRIDAY, DECEMBER 11
*Late applications will not be accepted.

Chapters will be notified in January whether or not they have been awarded a Circle of Giving grant and the amount that has been awarded to your local partner organization. Grants will be awarded up to 25% of the chapter's fundraising total and not all chapters are guaranteed to receive a grant.

Please contact Andrew Matznick, director of program development, with any questions at amatznick@abilityexperience.org.

Question Title

CHAPTER INFORMATION

Name: *

Chapter/University: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

Question Title

Please list the contact information for the local organization with whom the chapter has a volunteer relationship.

Contact Name: *

Organization: *

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address: *

Phone Number:

Question Title

Which choice best describes the length of your chapter's relationship with the local partner organization?

Have not volunteered yet

1 year or less

2 years

3 years

4 years

5 years or more

Other (please specify)

Question Title

Select the option that best describes the number of times the chapter has volunteered with your local partner organization in the last year.

Weekly

Bi-Weekly

Monthly

Quarterly

Semesterly

Annually

No interaction in the last year

Question Title

Approximately what percentage of the chapter has volunteered with your local partner organization at least once in the twelve months.

Less than 10%

11% - 24%

25% - 50%

51% - 75%

76% - 90%

More than 90%

No interaction in the last year

Question Title

Describe the volunteer activities that the chapter has participated in with the local partner organization in the last year.

Question Title

How many chapter members participated in a national event in 2015?

Ability Weekend

Ability Camp

Gear Up Florida

Journey of Hope

Build America

Question Title

The Ability Experience appreciates the work your chapter does to support people with disabilities. In an effort to better serve you, please provide any feedback on how we can aid in developing your relationship with the local partner organization.

If available, please share any photos and/or stories of the chapter interacting with your local partner organization by visiting www.starandlamp.com and click 'Submit News' in upper right corner. These photos and/or stories may be used in future publications of Pi Kappa Phi and The Ability Experience.