CIT International Conference Funding Application

Name:*
First Last
Email:*
Agency/Organization:*
CIT/P Coordinating Team Name:*
County/Counties Your Team Covers:*
Dates/Year of the Conference:*
Total Funding Request (Itemized Budget):*
Budget File Upload:
Train-the-Trainer CIT Coordinator's Course Receipt:*
Please upload a receipt from your course/conference registration.
Why do you want to attend this course/conference?*
How would your local CIT/P coordinating team benefit from you attending this course/conference?*
How will the state of Wisconsin benefit from you attending this course/conference?*
Type Your Name as Your Signature*
Signature Date*
Date Format: MM slash DD slash YYYY
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