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Educational Grant Application Form

Name :
Address :

List anticipated expenses: (Grants are a 50/50 match. Please review Guidelines.)

Other :
TOTAL :
Supervisor's Name at Library Institution
Reimbursement check should be addressed to: (Library or Individual's Name)
I understand that I must submit receipts for my expenditures at this activity before receiving payment.I also agree to share information from this experience with my colleagues in NEWIL. Receipts should be sent to: NEWIL, 515 Pine St., Green Bay, WI 54301.
, (920)448-4413 if more information needed.