CSU’s Civic Learning and First Year Initiative Implementation Mini-grants Cover Page Campus: _ Please list below the name and contact information of the leader for this initiative. This individual will be responsible for submitting on-time reports and responding to all requests for information from the Chancellor’s Office. If reports are not submitted in a timely fashion, there may be implications for future allocations and subgrants. Contact Name: Department/Title: Campus Address: Campus Phone: Fax: Email: Requested dollar amount for a minigrant (up to $8,000 is available): Dollar amount of institutional match (1:1 is required) supporting this Initiative: Total Amount Supporting this Initiative: Name and Title of Authorized Representative: Title: Signature: Date: Civic Learning & First Year Initiative Implementation Mini-grants, Appendix A Mail or email the completed application to Judy Botelho by November 3 1