Grant Type * Education and Training Housing and Equipment Organization Requesting Grant * Collegiate Chapter Collegiate Colony Alumni Association House Corporation Name of Chapter, Colony, or Housing Corporation and Host Institution (if applicable): President's Name: * President's Email Address: * Treasurer's Name: * Treasurer's Email Address: * Program Name: * Amount of Grant Request: * $ What date do you need the funds by?: * MM DD YYYY How many people are expected to attend or directly benefit from the program?: * What are the goals/objectives of the program?: * How will this program advance the educational and charitable mission of Phi Kappa Theta?: * How will you evaluate the success of the program?: * Total Budget: * $ Grant Requestor's Name: * Grant Requestor's Position: * Grant Requestor's Email Address: * Grant Requestor's Preferred Phone Number: * (###) ### #### Thank you!