Online Discretionary Grant Application

Please complete the following form to apply for a Discretionary Grant from AEIO.

   
DATE 
ORGANIZATION/ACTIVITY NAME 
CONTACT PERSON 
PHONE 
FAX 
EMAIL 
AMOUNT REQUESTED   
DESCRIPTION OF FUND USE 
OTHER SOURCES OF FUNDING 
NUMBER OF STUDENTS INVOLVED  IN PROJECT/ORGANIZATION 
HAVE YOU RECEIVED FUNDING FROM US IN THE PAST?  YES NO
IF YES, EXPLAIN