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
1. 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
2. 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
3. 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
4. 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?
5. 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: [email protected]
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.
1. 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
2. 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