S/R/C Funding Proposal Form Please read CRLA Policy for Funding States, Regions, Chapters (S/R/C) & Special Interest Groups (SIG) Name of State/Region/Chapter: Pennsylvania and New Jersey Statement of Purpose for Funding Request To request supplemental funding in the amount of $1,000.00 for the PA/NJ CRLA Spring 2017 Conference The PA/NJ CRLA Chapter strives to provide professional opportunities and educational programs to the PA/NJ CRLA members in the region If supplemental funding is granted, the Chapter will be using it to pay for the 2017 Conference, site expenses, food expenses, hotel accommodations, key note speaker, as needed, and other Conference-associated expenses Nature of activity: _X_ Conference Workshop Seminar Webinar Membership drive Other: _ Date(s), duration, and locale of the activity: Friday, March 24, 2017 at Princeton University, NJ From 8:30am – 3:30pm Registration fee (if applicable): Conference: $40 for non-students (including membership fee/renewal), $20 for students Funding Purposes (check all purposes that apply) X _ Offers professional development activities for the membership X _ Encourages the growth of CRLA’s membership X _ Provides services to members unable to attend CRLA’s annual conferences Explain how the activity meets specified purpose(s): The Regional Conference will provide professional development opportunities for the region as we will gather to share best practices and discuss topics related to college reading and learning Since attendance at the Conference includes the membership fee, it is a great way to increase our membership as well Revised: 9/2004; 9/12/08; 09/09; 11/11; 4/13; 3/14 S/R/C Funding Proposal Form Itemization of Projected Expenses Item(s) Amount Keynote speaker Hotel Offset costs for food and materials at Regional Conference $300 $200 $500 Total Amount Requested: $1,000 Board Representative If you are hosting a conference or meeting are you requesting that a representative from the Board of Directors attends? (Please see the funding parameters below for attendance by a BoD member.) Yes _ No _X If yes…who? Contact information and Signature Name: Jose Paez-Figueroa Mailing Address: 1033 Springfield Ave, Cranford, NJ 07016 Work Phone: 908-709-7084 Home Phone: E-mail: paez@ucc.edu Jose Paez-Figueroa e-signature of State/Region Director/Chapter President 1/27/17 _ Date Complete this form and submit it to the current Coordinator of S/R/C Leaders with appropriate supporting documentation Important Policy on Funding Please read CRLA Policy for Funding States, Regions, Chapters (S/R/C) & Special Interest Groups (SIG) document Funding Cycles There are two funding cycles A Proposals for funding Spring and Summer activities must be received by the Coordinator of S/R/C & SIG Leaders by January 15 (to be processed at the February Board meeting) B Proposals for funding Fall and Winter activities must be received by the Coordinator of S/R/C & SIG Leaders by June 15 (to be processed at the June Board meeting) Revised: 9/2004; 9/12/08; 09/09; 11/11; 4/13; 3/14 S/R/C Funding Proposal Form Board Representation If you seek funding for a CRLA State/Region/Chapter conference or meeting, the following restrictions apply if you are asking a Board member to attend: •The CRLA Board will pay round-trip travel for your requested Board member to attend a regional CRLA event • The local CRLA State/Region/Chapter is responsible for the Board representative’s meals, lodging, or honorariums, including gift bags The CRLA Board will not pay or reimburse these expenses of the CRLA representative at the S/R/C event Revised: 9/2004; 9/12/08; 09/09; 11/11; 4/13; 3/14 ... this form and submit it to the current Coordinator of S/R/C Leaders with appropriate supporting documentation Important Policy on Funding Please read CRLA Policy for Funding States, Regions, Chapters. .. (S/R/C) & Special Interest Groups (SIG) document Funding Cycles There are two funding cycles A Proposals for funding Spring and Summer activities must be received by the Coordinator of S/R/C & SIG... meeting) Revised: 9/2004; 9/12/08; 09/09; 11/11; 4/13; 3/14 S/R/C Funding Proposal Form Board Representation If you seek funding for a CRLA State/Region/Chapter conference or meeting, the following