Risk Management Training Endowment Application

MMIA Risk Management Training Endowment Application
Project Title/Name:
Date of Event

Month Day Year
Municipal Sponsor: (city, town, department)
Primary Contact
Primary Contact:

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Mailing Address

Mailing Address 1

Mailing Address 2

City State / Province

Postal / Zip Code
Abstract/Summary: (2-3 sentences that describe your project)
Participating Municipalities (Registration must include 10% of MMIA’s Member Entities)
Budget:
Overall Project Budget:
Total Request of the MMIA Endowment: (up to $2,000)
Endowment Request as Percentage of Total Budget:
Should be Empty:

MMIA Risk Management Training Endowment Application