Application for funding

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* 1. Primary Contact Full Name

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* 2. E-Mail address

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* 3. Title/Position

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* 4. Institution

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* 5. Co-organisers and their affiliations

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* 6. By selecting yes below, you consent to allow CCDC to store and process the personal information submitted above to provide you the content requested.

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Event information

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* 7. Name of the event

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* 8. Location

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* 9. Dates

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* 10. Website

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* 11. Estimated number of attendees

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* 12. Target audience

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* 13. Brief description of activities 

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* 14. Is this event part of a series?

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* 15. If yes, what was the date of the last occurrence?

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* 16. Where did the last event take place?

Support information

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* 17. Requested amount

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* 18. Please describe what these funds will support

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* 19. Do you request any other support?

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* 20. How will CCDC’s support be acknowledged?

Other information

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* 21. Please use this space to include any other comments or information you wish us to know. 

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