Diversity Is building diversity a component of the program? If yes, in what way? Additional Information Date funding needed by Sources of funding already secured Recognition Please indicate how you intend to recognize the AF for its donation: Your plan if funding still outstanding is not secured Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. Name (printed) Signature Date
Diversity Is building diversity a component of the program? If yes, in what way? Additional Information Date funding needed by Sources of funding already secured Recognition Please indicate how you intend to recognize the AF for its donation: Your plan if funding still outstanding is not secured Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. Name (printed) Signature Date
APEGA-Foundation-Funding-Application-Form.docx