Grant Application – FLOCC

A handful of registrations grants will be available and depend on sponsorship registrations not utilized. If you are interested in grant opportunities please fill out this form.

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Applicant Name *

Applicant Phone Number *

Applicant Email *

Organization, Business or Individual Requesting Grant *

Address of Potential Grant Recipient *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Grant Proposal

Please explain a bit more about why you feel that you are deserving of a grant to the first annual FLOCC Convention. Grant recipients must show financial need.

Please describe the financial need for the grant. *

How will the attending FLOCC benefit you, your company or your community organization? *

Would you be willing to place a FLOCC logo on your website as a community partner in exchange for a convention grant? *

Statement of agreement *

Yes, I understand and accept the terms.

Grant recipients are provided ONE (1) complimentary registration to FLOCC. This does not include the GALA ticket to FLAMBOYANCE.

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Type full name to authorize *

Date *