Personal Information

First Name

Last Name

Phone Number

City

State

Year graduated from GLI

In which city or ADL region did you participate in GLI?

Your Program/Initiative

Title of Event

Expected Date of Event

Which category best describes the focus of your event?

What are your goals for the program?

Please provide a 2-5 sentence description of your program, including your target audience and how many people you expect to participate.

What grant amount are you requesting to support your program?

How do you intend to use the micro-grants funds to support your program?

Are there any written materials or resources you need from ADL that can be helpful in implementing your program/initiative (e.g. Discussion guide, information on a particular topic)?

Terms and Conditions

I understand and agree to the GLI Alumni Micro-grants Terms And Conditions