Jobing Foundation -

Career Community Grant Application (for APA / AAPA Affiliated Chapters)


Chapter Name * (required)



Do you currently have a website? * (required)
	Yes No

If yes, what is your current website address?


Mailing Address (for the chapter) * (required)


Mailing City (for the Chapter) * (required)


Mailing State (for the chapter) * (required)


Mailing Zip Code (for the chapter) * (required)


Contact information for individual completing form

Name * (required)


Title or Position Held with Chapter * (required)


Email Address * (required)


Phone


If you are not the president, please complete the following

President's Name


President's Email


President's Phone


Please complete the following for the individual responsible for administering your current website

Website Administrator's Name


Website Administrator's Email Address


Website Administrator's Phone


About the Chapter and this Application

This Career Community Grant Application is for:* (required)
	We have a website and would like to add the APA / AAPA Job Board & Job Search Tool Kit We are in need of a full website

If you are in need of a full website, please select template # (http://jobingfoundation.org/programs/career-community-grants/association-website-templates/)


Current # of Members * (required)


We communicate with our members and visitors by (check all that apply)* (required)
	Email Website Membership Meetings Print Newsletter Other

If Other, please explain



Please provide a brief description of your organization* (required)



Please provide your current major goals or objectives for your chapter



Please provide us with any recent awards or special recognitions your organization has received



Describe any special considerations or requests for your Career Community Grant (especially if discussed with a representative of Jobing Foundation)



By submitting the grant application:


I understand that I am applying for a limited use software license for the Jobing Career Community job board or website technology.

I understand grant is for a period of 2 years and will renew automatically annually without written notification of cancellation by either party.

I will provide marketing space available in appropriate materials to my members or constituents in order to promote the use of the Career Community.

I understand and agree to the terms and conditions for this software license grant. (Terms can be found at http://jobingfoundation.org/programs/career-community-grants/terms-for-career-community-grants/.)

I affirm that I am authorized to enter into this request for a software grant on behalf of the organization.