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Training Grant FY16
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TRAINING GRANT APPLICATION - FISCAL YEAR 2016
The Training Grant Program was developed to provide assistance to members of the Trust who wish to assist their employees with obtaining education and training to reduce liability claims and property damage. Please refer to Training Grant Program Information available on www.lgit.org for detailed application information. NOTE: All information requested MUST be accurately completed. Failure to do so could result in grant denial.
Name of Local Government
Fall      - August 28, 2015
Winter - December 31, 2015
Spring - April 15, 2016
Expected Distribution Date
September 17, 2015
January 14, 2016
May 5, 2016
Operating Budget of Local Government
Contact First Name
Contact Last Name
Title of proposed training (Please provide a brief overview of the training/event you would like to attend.)
Training Expense Summary (Please itemize by including the cost per person to reflect the total amount of grant request.)
# of Attendees
Total Amount of Grant Request
PROBLEM (Explain why attending this training/event helps you and your organization. State how this training fits into your overall safety program.)
INNOVATIVE SOLUTION (Describe how obtaining the training/education outlined above will provide a creative and resourceful solution to the problem you have. Also, please explain how the training will reduce claims and affect the line(s) of insurance coverage provided to your local government by LGIT.)
Eligibility (Notice: Please refer to the Training Grant Program Information sheet available on LGIT’s website.)
Please check all that apply to your grant submission.
Intended to reduce the risk of losses covered by LGIT such as general liability, auto liability, auto physical damage, public official liability, law enforcement liability and property damage.
Will have a bearing on the Member’s insurance coverage held with LGIT.
Allows other LGIT member local governments to attend the training.
One-page summary attached describing how the training will assist the applicant in performing his/her job duties and contribute to the reduction of claims with LGIT.
Description attached detailing training/event including costs, duration, qualifications of the instructor/speaker, etc.
Does not include requests for equipment or materials unless directly related to the education/training.
Does not include requests for videos.
Will be limited to one per local government per fiscal year.
Applications for each grant cycle must be received by the deadline indicated above.
Recipients agree to provide follow-up questionnaire on the use and effectiveness of the grant received.*
Failure to return the completed questionnaire within 120 days of the training's implementation may result in a forfeiture of the grant funds and possible ineligibility for future grant awards for up to two years.
Upload Supporting Documentation (single pdf)
Applicant's Full Name and Title
Authorized Official's Name and Title
For further information regarding LGIT Grant Programs, please contact:
Larry Bohlen, Director of Field Services at 443.561.1700 or firstname.lastname@example.org.
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