Application for Grant from the Chemical Education Fund

Name of Local Section, Subject Division, Constituent Society, Student Chapter or other making proposal:

Name and address of individual preparing proposal and role in the group applying and/or in the project:

If grant is approved, the cheque should be made out to:

Aim of Project: (not more than 100 words if possible)

Date of Project:

Amount of grant requested: (Attach complete budget of revenue and expenditures for project)

If project involves a meeting or symposium - estimated attendance

Is the project new or a repeat of a previous activity?

Attach any literature or publicity material which is being prepared describing the project.

Return to The Chemical Institute of Canada National Office, 130 Slater Street, Suite 550, Ottawa, ON,  K1P 6E2, or by e-mail to gwilbee@cheminst.ca by December 15th of the year previous to that in which support is requested.

NOTE: Following completion of the project, a brief report should be submitted to the CIC National Office outlining what was accomplished by the project and any problems encountered. Receipt of a satisfactory report is a prerequisite for consideration of further grant requests.

Date: