Funding Request Form

Funding Request Form

This is a useful form template to request funds for your company or organization. Form Preview
Project Colleague Funding Request Form
  • Florida Dental Association

    Project Colleague Funding Guidelines

    PURPOSE: Project Colleague is part of the Florida Dental Association's (FDA) statewide membership recruitment program. Its objective is two-fold: 1) to provide funds to support component and affiliate recruitment events of non-tripartite members*, and 2) to discover new best practices for recruitment of targeted groups. A component representative/Executive Director must be in attendance at the event.

    FUNDS: Project Colleague funding is intended to supplement components’ and affiliates’ recruitment efforts. These funds should act as seed money for new events with the goal that the affiliate or component will find success and include it in their regular budget for the following year. Funding is intended for future events (events that have already taken place will not be considered). Once funding is approved, the follow-up forms will be mailed with the check to the local society.

    REQUEST FOR FUNDS: Component and affiliate dental associations may request funds for Project Colleague activities by completing and submitting the following online request form. The FDA Council on Membership will review requests for funds and notify applicants of their status. The Council on Membership strongly encourages all components and affiliates to submit their request by October 13, 2017, in order to ensure each district’s events are considered. NOTE: Please make sure you receive an email confirmation from the FDA acknowledging receipt of your application by October 13, 2017, in order for your request to be considered.

    FUNDING PRIORITIES: The Council on Membership established that funding priority will be given to those component and affiliate societies holding unique events that engage target groups. The funds are not intended to replace regularly budgeted events or events that have been funded in the past.

    EVENT DETAILS: Special events defined under Project Colleague would include, but not limited to, receptions, luncheons and dinners, and continuing education lectures. The component should be notified of the final event details to help increase awareness of the event at the district level.

    METRICS FOR SUCCESS: In order to assist the Council on Membership, the Project Colleague reporting form provides an area to specifically identify the names of those non-members attending the recruitment event that joined the FDA as a direct result of the function, or joined at a later date. It is important to clearly identify those dentists attending the event. Please keep a record of each attendee and submit their names with the follow up form. Funding will not be granted in the future to entities that have failed to provide their reporting forms with attendee lists and copies of receipts. Funds must be used by September 30, 2018. The reporting form is due by September 30, 2018 to the FDA.

    *To request a non-member list, please email Ashley Merrill at amerrill@floridadental.org.

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