Professional Development Grant

* Indicates required field

Organization *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Planned Completion Date *

Description of Class/Accreditation *

Amount Requested *

Annual Organizational Development Budget *

Total Class/Accreditation Cost *

Total Annual Organizational Budget *

Current Professional Development Budget *

Projected Benefits of Class or Accreditation (please include a one to two paragraph description) *

Is there information you can share to help us make a decision? Why do you need this grant? *

The applicant represents that he or she is a paying IEDA Member in good standing. Applicants receiving this grant agree to submit proof of payment, successful completion of the program documentation, and a report of the benefits received in order to receive reimbursement.

Applicant Signature *

Date *

Submit

Professional Development Grant Application

Professional Development Grant