MEMBER APPLICATION FOR
JANET GURNSEY GRANT ( $200.00 Maximum )
(Include Additional Pages if Necessary)
NAME
______________________________________
BUSINESS ______________________________________
EMAIL______________________________________
ADDRESS_______________________________________
PHONE_____________________________________ SIGNATURE_____________________________________
Describe
the specifics of your professional development request—include the organization
or institution and specifics of the course or training. If the training is for a certification or
license, please detail the organization(s) that certify it and how it is
recognized.
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How
does this grant meet the guidelines from Chamber, South Council and
Professional Development Committee? Include
whether this would be a reimbursement (receipt required), or paid directly to
the organization listed above.
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Detail
the benefit to you as a South Council Member:
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____________________________________________________________________________________________
Detail
potential ancillary benefits to the South Council:
________________________________________________________________________________________________________________________________________________________________________________________
Additional Comments:
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