Discretionary Fund Application

Note: Please read the Guidelines before filling out the Application. Please observe the application deadline of six weeks before event.

Title(s) of sponsoring NATS unit(s)	(Which chapter or region?)
Date of Event
Project Details

Please describe the student impact of the project

Project Administrator Information
First Name
Last Name
Mailing Address
City
State/Province
Zip/Postal Code
Home Phone
Work Phone
Fax
Email Address
Financial Projection
EXPENSES
Fees	$
Travel	$
Publicity	$
Postage	$
Printing	$
Hall rental	$
Other	$ (BE SPECIFIC PLEASE! You may enter more than one number here as well as words.)
Total	$
INCOME
Local Funds	$
Regional Funds	$
Admissions/Fees	$
Other	$ (BE SPECIFIC PLEASE! You may enter more than one number here as well as words.)
Total	$
Amount Requested From Discretionary Fund	$ (In other words, how much cash shortfall do you expect? $600 maximum.)
Other supporting statements or data in favor of the project:

Please list your REGION and Regional Governor's name

Office use only:

Project Administrator Information