Senior Fellows Microgrant Application
First Name
Last Name
Email
Phone
University
Organization Name
I am a
Current Student
Alumni
Expected Graduation Year
Proposal
Initiative Title
Date of Event
Please provide a 4-6 sentence summary of your initiative
Outcomes and Successes
What are the desired outcomes of your initiative?
How do you hope to achieve your goals and make this initiative a success?
Funding Information
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Amount Requested
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Mailing Address 1
Mailing Address 2
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