New York State Commission on
National & Community Service

New York State Commission on
National & Community Service

Andrew M. Cuomo

Governor

Susan K. Stern

Commission Chair

Mark J. Walter

Executive Director

Find Volunteer Opportunities
Advanced Search

PDAT Mini-Grant Application

Program Name: Lead Agency Name:
Staff Contact Name Contact Address
First Name: Address Line 1:
Last Name: Address Line 2:
Contact Info City:
Phone: State:
Email: Zip Code:
National Service Programs Engaged:        

1. Please provide the name(s) of the additional National Service programs that will be participating in this training.   
2. Please provide a description of the proposed training event.   
3. What is the proposed date, time, and location for this training event?   
4. What is the projected attendance for this training?   
5. Please provide specific details on what the proposed outcomes for this training will be, and how these outcomes will impact the participants.   
6. Please provide specific details on how the training will be evalutated for effectiveness.   

 Budget Form

Support Expense Type Description and Calculation Total Requested
A. Project Personnel Expenses
B. Personnel Fringe Benefits
C. Travel
D. Equipement
E. Supplies
F. Contractual and Consultant Services
G. Other Supplies
H. Indirect Costs
BUDGET TOTALS: