Pre-Workshop Interview  Cancel this interview >>

Part 1 -  Enrollment Information

1. Workshop Location Grants 101: University of Phoenix - Phoenix Campus (09/10-12/08) Grants 101: University of Phoenix-Kansas City Campus (Kansas City, Missouri) (09/15-17/08) The Grant Institute: University of Phoenix - Atlanta Campus (09/15-19/08) Grants 101: Johns Hopkins University (Baltimore, MD) (09/15-17/08) Grants 101: Westside Conference Center - Pepperdine University (Los Angeles, CA) (09/17-19/08) The Grant Institute: Miami, Florida (09/22-26/08) Grants 101: British Columbia Institute of Technology - Downtown Campus (09/29-01/08) Grants 101: Excel Achievement Center - Sioux Falls, SD (10/01-03/08) Grants 101: University of Phoenix - Indianapolis Campus (10/13-15/08) Grants 101: Las Cruces, New Mexico (10/15-17/08) The Grant Institute: University of Phoenix - Greater Boston, MA Campus (10/20-24/08) Grants 101: University of Phoenix - Minneapolis Campus (10/21-23/08) Grants 101: Burlington, Vermont (10/22-24/08) Grants 101: Belhaven College (10/29-31/08) Grants 101: University of Phoenix - Columbia SC Campus (11/05-07/08) Grants 101: University of Phoenix - Nashville Campus (11/05-07/08) Grants 101: University of Phoenix - Denver Campus (11/12-14/08) Grants 101: Montgomery, Alabama (11/12-14/08) The Grant Institute: New York, NY (11/17-21/08) Grants 101: University of Phoenix - Las Vegas Campus (11/19-21/08) Grants 101: University of Phoenix - Washington DC Campus (11/19-21/08) Grants 101: University of Phoenix - Little Rock Campus (12/01-03/08) Grants 101: Toronto, Ontario CANADA (12/01-03/08) Grants 101: University of Phoenix - Honolulu Campus (12/03-05/08) Grants 101: Des Moines, Iowa (12/03-05/08) The Grant Institute: Seattle, Washington (12/08-12/08) Grants 101: Laramie County Community College (12/08-10/08) Grants 101: San Francisco, California (12/10-12/08) Grants 101: University of Phoenix - Orlando/Maitland (12/10-12/08)

2. Name 3. Job Title

4. Organization Name 5. Department Name

6. Billing Address

7. City 8. State 9. Zip 10. Country

12. Business Telephone 13. Home Telephone 14. Mobile

15. Fax 16. Email Address

17. Method of Payment Purchase Order Check Visa Mastercard Discover

18. Will you require an invoice prior to payment? Yes No

19. Are there two or more members of your organization who will be attending this institute? Yes No If so, please list their names:

20. Preferred Delivery Method Print Email None

21. How did you hear about The Grant Institute?

Part 2 -  Please complete the following in order to better serve you.

1. Have you ever written a grant before? Yes No

2. How would you characterize your grantwriting experience?

3. How long have you been writing grants? Less than 1 year 1-3 years 3-5 years 5-10 years More than 10 years N/A

4. Which of the following categories would you say best describes your ability to obtain funding? Very Successful Successful Average Unsuccessful N/A

5. What percentage of your job function would you say grantwriting plays a role? 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

6. Have you elected to enroll in the Workshop to assist with a project you currently want funding for? Yes No

7. Please provide a detailed description of the project/program you are seeking funding for.

8. Do you have a potential funding source? Yes No

9. If so, who is your potential funder?

10. What is the amount of the grant you are applying for?

11. Which of the following best describes your level of ability with respect to grantwriting: Advanced Intermediate Novice

12. What would you like to get out of the workshop?

13. Please select the category that best describes your program area. Academic Research (Science, Technology, and other academic) Nonprofit Programs (including education)