Youth Leadership Development Event Funding Request 1. Name of Organization * 2. Organization's Website http:// 3. Name of Organization's Contact Person * First Name Last Name 4. Contact's Email * 5. Contact's Phone * (###) ### #### 6. Please select which best describes the organization. * Nonprofit 501(c)(3) Public Agency Faith-Based Organization Other (please describe): 7. Please describe in fifty words or less how the organization is engaged in youth leadership development. * 8. Please provide a written statement that includes the following information about the youth leadership conference for which you are requesting reimbursement: (a) conference title; (b) conference provider; (c) date(s) of event; (d) event location, (e) registration fee, (f) a brief description of how attendance at this event is expected to expand the leadership skills of youth attending. * 9. If available, please provide a link to the leadership event website. 10. How many youth are you intending to send to the event? * 11. What funding amount are you requesting per youth registration? * 12. If the Kiwanis Club of Rancho Cordova is unable to provide the full funding amount requested, is your organization prepared to cover the remaining fee balance? * Yes No Thank you!
