Document 17873163

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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
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