Mw-Isa Education and Training Grant Application

MW-ISA EDUCATION AND TRAINING GRANT APPLICATION

FY 2017

Applicant Name:

Contact person:

Address:

Phone:

Email address:

1) Brief description of project you are requesting $1,000 reimbursement for:

2) Estimated number of people participating in / benefiting from this project:

3) Estimated ISA Certified Arborist CEUs this project will provide participants:

4) Brief description of publicity plan and promotion the MW-ISA Chapter will receive before / during and / or after project:

5) Estimated itemized budget of this project:

6) Estimated date project completed, (must be completed and all paperwork submitted by August 31st, 2017 to receive $1000 reimbursement):

THIS COMPLETED FORM AND ALL SUPPORTING DOCUMENTS MUST BE RECEIVED BY AUGUST 15th, 2016 TO BE CONSIDERED FOR GRANT AWARD.

Submit application documents to:

Chuck Conner

Missouri Department of Conservation

12405 SE Ranson Road

Lee’s Summit MO 64082