8/8/2019 2011 AGM WRO Subsidy Application
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2011 Annual General MeetingWestern Regional Office
Subsidy Application
PLEASE READ CAREFULLY BEFORE SUBMITTING YOUR SUBSIDY
APPLICATION
Complete subsidy applications must be received byFebruary 10,
2011. Late applications will not be accepted. Subsidyawards will be
announced by 5pm on February 11, 2011.
By completing this application you are committing the four
people listed in the application to attend the AGM.Onesubsidy
application is required for every four individuals seeking a
subsidy. A group may fill out as manyapplications as needed but
names may not be duplicated on multiple applications.
Subsidy awards are only available for lodging and will cover a
hotel for two nights (March 18th
and 19th
) in San
Francisco. The Key Contact Person will be contacted regarding
the subsidy. The Key Contact Person will be the onlyperson listed
on the hotel room reservation and must have a credit card available
to present upon check-in for incidental.
We will not be providing cash reimbursements for lodging or
other AGM-related costs.Western Regional Office staff willmake
hotel reservations and secure all final details and will not be
responsible for hotel costs incurred by subsidyapplicants or
awardees. For example, if you reserve a room on your own and are
then awarded a room subsidy, we willnot cover the cost of your
reserved roomin exchange foryour subsidy room, even if at the same
hotel.Only one hotelroom will be awarded per subsidy application (4
people). If for some reason you do not want or are unable tosleep
four people per room, you are responsible for additional hotel
costs.
To be eligible for a subsidy, each person on the application
must be:
y Part of an Amnesty International Group
y A current, card-carrying Amnesty International member
y
Able to attend the entire AGM without exception(Friday, March
18
th
4pm Sunday, March 20
th
4pm including theFriday evening program)
y Willing to volunteer during the AGM if needed
y Over the age of 18 by February 10, 2011 unless accompanied by
parent, legal guardian or Amnesty InternationaFaculty Advisor
y Registered for the AGM (Registration may take place following
notification of award but must happen within 10days of award
notification)
Subsidy awards will be prioritized based on the following:
y Financial need
y First-time conference attendees
y Those actively organizing a group to attend and those active
within their Amnesty groups
y Applications representing large groups(one application for
every four people)
y Diversity of applicants (balance between Local and Student
Groups, rural and urban areas, etc)
Demonstrated efforts to fundraise and secure funds from
additional sources are strongly encouraged.We are not able topay
for food or travel expenses. If you need ideas on how to fundraise
or where to seek additional funds (school, etc)please contact your
Field Organizer.
Return completed subsidy applications to [email protected] with
the subject line AGMSubsidy Application.Contact your Field
Organizer at (415) 288-1800 if you have any questions regarding the
subsidy application process.
8/8/2019 2011 AGM WRO Subsidy Application
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2011 Annual General MeetingWestern Regional Office
Subsidy Application
What Amnesty International group are you a part of?
Group City/State
Key Contact PersonThis is the only person who will be contacted
regarding the subsidy.This person will be the only person listed on
the hoteroom reservation and must have a credit card available to
present upon check-in for incidentals.
Name
Phone
Email
Full name of three additional group members applying for
subsidyOne application is required for every four individuals
seeking a subsidy. Names should not be duplicated on
multipleapplications.
1.
2.
3.
Have you taken any steps to secure additional funds for AGM
expenses?Check all that apply and list outcomes if applicable.
Fundraising effortsOutcome:
Funding request from schoolOutcome:
Funding request from your Amnesty groupOutcome:
Other:Outcome:
By submitting this application you are agreeing (if awarded a
subsidy) to the stipulations above.REMINDER: Upon receipof subsidy
award the Key Contact Person has a total of 10 days to confirm the
entire groups AGM registration andmembership status.
Key Contact Person type initials here: ____
FOR INTERNAL USE ONLY
Applicant Name Registered for AGM? Current Member?
