Circle of Giving - 2017 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 $5,000 during the 2016 calendar 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 level of interaction with your local partner organization.

APPLICATION DEADLINE: SUNDAY, JANUARY 29
*Late applications will not be accepted.

Chapters will be notified in February whether or not they have been awarded a Circle of Giving grant. If awarded, you will also be notified of 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 Chelsea Ball, director of logistics, with any questions at cball@abilityexperience.org.

Question Title

1. CHAPTER INFORMATION

Name: *

Chapter/University: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

Question Title

2. 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

3. 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

4. Select the option that best describes the number of times the chapter has volunteered with your local partner organization in 2016.

Weekly

Monthly

Quarterly

Semesterly

Annually

No interaction in the last year

Question Title

5. What was the average group size from the chapter that attended each event in 2016?

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6. Approximately what percentage of the chapter has volunteered with your local partner organization at least once in 2016?

Less than 10%

11% - 24%

25% - 50%

51% - 75%

76% - 90%

More than 90%

No interaction in the last year

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

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8. 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.