2. TRAINING GRANT APPLICATION - FISCAL YEAR 2015
4. 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.
6. Local Government*
8. Grant Cycle*

   1. Fall
   2. Winter
   3. Spring
9. Submission Deadline
   Fall      - August 29, 2014
   Winter - January 2, 2015
   Spring - April 24, 2015
10. Expected Distribution Date
    September 10, 2014
    January 16, 2015
    May 6, 2015
12. FY Operating Budget of Local Government*
13. Population*
15. Contact First Name*
16. Contact Last Name*
17. Title*
19. Address*
21. Email*
22. Phone Number*
24. Title of proposed training (Please provide a brief overview of the training/event you would like to attend.)*
26. Training Expense Summary (Please itemize by including the cost per person to reflect the total amount of grant request.)
28. Seminar
29. Travel
30. Meals
31. Lodging
33. # of Attendees
34. In-kind/Other Contribution
36. Total Amount of Grant Request*
38. PROBLEM (Explain why attending this training/event helps you and your organization. State how this training fits into your overall safety program.)*
40. 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.)*
42. Eligibility (Notice: Please refer to the Training Grant Program Information sheet available on LGIT’s website.)
44. Please check all that apply to your grant submission.*

    1. 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. LGIT do
    2. Will have a bearing on the Member’s insurance coverage held with LGIT.
    3. Allows other LGIT member local governments to attend the training.
    4. 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.
    5. Description attached detailing training/event including costs, duration, qualifications of the instructor/speaker, etc.
    6. Does not include requests for equipment or materials unless directly related to the education/training.
    7. Does not include requests for videos.
    8. Will be limited to one per local government per fiscal year.
    9. Applications for each grant cycle must be received by the deadline indicated above.
    10. Recipients agree to provide follow-up questionnaire on the use and effectiveness of the grant received.*
46. IMPORTANT
    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.
48. Applicant's Full Name and Title*
50. Authorized Official's Name and Title*
52. Upload Document
54. For futher information regarding LGIT Grant Programs, please contact:
    Larry Bohlen, Field Services Sr. Manager at 443.561.1700 or lbohlen@lgit.org.
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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit Submit and Print

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