Chapter and Contact Information
Chapter:
University:
Full Address:
(Street,
City, Province,
Postal Code)
Contact Name:
Role in Chapter:
Contact E-mail Address:
Contact Phone Number:
Consul's E-mail:
(If you are consul, enter Quaestor's e-mail.)

Conference Details

Please note: it is the chapter's responsibility to provide proof of attendance, either by providing a soft copy of the chapter's travel stipend or have Head Quarters send an e-mail to the Treasurer confirming the number of attendees AFTER the conference ends (if this is a BLTW Application).
Conference Name:
Conference Date:  (YYYY-MM-DD)
Number of Actives Attending:
List the full names of
all actives attending:

Expense Details

Please note: food/accommodation CAN NOT include expenses at the conference if meals   rooms are provided. Please e-mail digital copies of all receipts to sccf@sigmachi.ca. If you do not have access to a scanner, try using a digital camera. Make sure all details are visible. Write details on the receipt if necessary.
Cost of Conference:
$165 x (# of attendees - 2) Why?
   $
Travel Costs: Airfare
+ $
Vehicle Rental
+ $
Gas/Food/Other
+ $
Accomodation
+ $
Money Received:
 Travel Stipend/McComas Scholarship (BLTW)
- $
Advance/Other Funding
- $
Total Conference Expense: = $

Grant Request

For BLTW, each chapter is eligible for a $1500 grant. The purpose of grant is to enable more brothers to attend the workshop. Since the first 5 attendees are already covered, the grant can be applied towards the registration cost of attendees 6, 7, 8, etc, as well as any travel/other expenses.

Amounts in excess of the $1500, as well as reimbursement for the cost of registration for the first 1-5 attendees can be requested from your chapter's Current Education Funds (this is a limited balance fund; the more you request from this fund, the less you will have remaining for other purposes). To determine the balance of your chapter's current funds, please contact the Treasurer.

Foundation Grant Program: (BLTW Only)
(Up to $1500, not exceeding Total Expenses)		 $
Chapter Education Fund:
(See note above)
 $
Total Potential Grant: $
Total Amount Requested:
Amount may not exceed Total Potential Grant or Total Conference Expense		 $


  • Please verify all information is correct
  • If your chapter received an advance, and the Total Conference Expense above is negative, you must submit a cheque to return the excess funding advance.
  • A copy of this form will be sent to you, your chapter advisor, your Grand Praetor, and the Canadian Foundation Chair.
  • It is your responsibility to ensure your chapter's executives are aware of the contents of this form.
  • We will verify that all expenses are accurate and that all individuals attended the conference.
I verify that the information provided in this form is true to the best of my knowledge.

I understand that if the receipts are not e-mailed by Sept. 15, the grant will become
      a chapter loan.