ASABE FUNDING REQUEST FORM

This form may be used as a guide. The form itself is not necessary as long as the information called for on it is contained in the request and is presented in the same order. Please submit all requests to the Executive Vice President at Headquarters.

1. INITIATING BODY (COMMITTEE, TASK FORCE, SECTION, DIVISION, COMMUNITY, ETC.).

2. CONTACT PERSON
Name:
Address:
City: State: Zip:
Phone: ( )
Fax: ( )
Email: _____________________________

3. PURPOSE STATEMENT

Attach a Purpose Statement which describes the project or service for which you seek funding support. List the project's objectives and include detailed information on:
-what Society objective is met (from the Constitution and Bylaws)
-what strategic priority is met (Society Priorities 2008)
-what member need(s) are being met
-how many members will benefit
-whether and how it will aid membership retention/growth

4. ANTICIPATED RESULTS What specifically do you hope to achieve? What measurable benefits will be derived from your activity? What methods will you use to measure progress and success?

5. DETAILED BUDGET
Attach a detailed budget for this project. Include complete estimates and all anticipated revenues and expenses. Identify any long-range fiscal implications. Identify all funding and revenue sources. Include potential sponsors that the Foundation may approach for support.

6. PROJECTED TIMETABLE
Attach a projected timetable for your project from conception to completion. Identify at what points in the timetable you anticipate funding will be available and/or disbursed.

7. REVIEW/RECOMMENDATION BY COORDINATING COUNCIL:
Date of consideration:
Action:

8. ACTION OF ASABE FOUNDATION
Date of transmittal:
Date of consideration:
Action:

9. REVIEW/RECOMMENDATION BY INITIATIVE FUND REVIEW COMMITTEE
Date of transmittal:
Date of consideration:
Action:

10. ACTION BY ASABE BOARD OF TRUSTEES Date of transmittal:
Date of consideration:
Action: