Rugby Illinois Grant Request Form, v2.1

Please use this form to request equipment or funding from Rugby Illinois. Please complete all questions and give detailed answers when asked as this will help in the decision making process. Incomplete requests or those which lack detail will most likely be denied. Plan ahead as decisions are not made instantly, and it is suggested that your request should be made no later than four weeks before any deadlines or due dates. Careful consideration will be given to each application and acknowledgement of request will be sent before a decision is made. For additional info please email grants@rugbyillinois.us

Requestor's name:*

First NameLast Name

What is your CURRENT USA Rugby Registration (CIPP) Number?*

Requestor's e-mail address:*

Please type that e-mail address, again:*

Phone number*

Area CodePhone Number

I am a player/coach/referee/admin for:*

If your club isn't listed, please enter it in the comments section at the end of this form.

Funding Request Budget Items: (please use a separate line entry for each item)*

Total Amount Requested: (add subtotal amounts above)*

add the subtotal amounts from the question above, and double-check your math, please.

Please tell us how Rugby Illinois will benefit from the funding or equipment you receive for your request:

This could be at the school, club, region, or state level.

When do you need the funding or equipment?*

MonthDayYear

Please include any additional comments or information you feel would help your application.

(RIL Fund/Equip Cmte Only): Approved?

(RIL Fund/Equip Cmte Only): Notes

Rugby Illinois Funding & Equipment Grant Request Form