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Regional Event Funding Form

Please Note: This request should only be submitted after local attempts to secure funding have been completed. Contact your WDS Regional Vice-Chair for assistance.

* Required fields

Date: November 21, 2017
Name: *
Email: *
WDS Regional Vice-Chair: *
Event Name: *
Event Location: *
Date of Event: *
Event Type: * Educational   Networking   Program   Service
Details on sponsors that have been approached to date and their responses: *
Challenges with securing sponsorship locally: *
Amount of Funding Needed: *
Reasons why funding should be approved and anticipated ROI: *

Please provide a preliminary budget. Funding requests that do not have a supporting budget will not be considered or reviewed by the Regional Committee. *