Issues Mobilization Fund Application

Funds Requested By (required)

Name of Board/Association

Board/Association President

Board/Association President Phone Number

Board/Association President Email

Board/Association AE

Board/Association AE Phone Number

Board/Association AE Email

Point of Contact
PresidentAE

Point of Contact Address (Full Street, City, State, Zip )

Local Board of Directors Approval Date

Are there any local funds for this issue? (amount)

Requested Amount (numbers only)

Payable To

Payable To Address (Full Street, City, State, Zip )

What is the timeline for the campaign, including start dates and end dates, and by when are the issues mobilization funds needed?

What is the issue and how is it being decided?

Summarize the history of the issue (e.g. when issue originated; actions or inaction by the government on issue; private sector efforts to address issue) Attach supporting documents if necessary.

What is the issue’s potential local impact?

Is there a potential statewide impact?

What groups/coalitions support your position and what have been their actions and activities to date?

What groups/coalitions oppose your position and what have been their actions and activities to date?

Where do decision-making officials stand and do you think you can have an impact on the decision-making process?

Please assess the “winnability” of the issue (include recent polling, public opinion, media editorials, elected officials’ positions, etc.)

What is your overall anticipated cost? (number)

Please detail your plan of action and timetable. (Attach documents if additional space is needed)

If MAR leadership or staff were contacted about this proposal, please list the contacts.

Your follow-up report is crucial. You will be required to file a campaign follow-up report to the MAR Issues Mobilization Fund Committee within 30 days of receiving funding and a final report after the issue is resolved.

Board/Association President Signature (required)

Board/Association AE Signature (required)