Mearl K. Gable II Memorial Grant Application

Part 1

Please type, computer generate or print neatly:
Name	_____________________________________________
Street Address	_____________________________________________
City	_____________________________________________
State/Province and Country	_____________________________________________
Zip/Postal Code	_____________________________________________
Home phone	_____________________________________________
Work phone	_____________________________________________
Email address	_____________________________________________
References (people in the fiber field who know you and your work):
Name	_____________________________________________
Address	_____________________________________________
Phone	_____________________________________________
Name	_____________________________________________
Address	_____________________________________________
Phone	_____________________________________________

By submitting this request, I agree to abide by all regulations governing this grant money.
Signature	_____________________________________________
Date	_____________________________________________


__________________	Applicant Number (assigned by grant administrator)

Part 2

The answers to these questions are to be typed, computer generated or neatly printed and have no personal identifying information.

1. Name of school or provider of instruction:

2. Title and short description of course (attach brochure, if available):

3. Date(s) of event(s):

4. Costs associated with the event:

a. Tuition
b. Supplies and materials fee
c. Room and board
d. Travel costs

5. Amount of money you are requesting:

6. Please present a resume of your background, current activities, and future goals in the fiber fields.

7. Include a short description of the way in which you plan to fulfill the obligation to report to the Weavers Guild of the North Shore, Inc.

8. Please use additional pages if needed; be sure your name is at the top of each additional page.

Mail completed application to :

Gable Grant Administrator
Handweavers Guild of America, Inc.
1255 Buford Highway, Suite 211
Suwanee, GA 30024

To report problems on this site send email to the HGA office
http://www.weavespindye.org/html/gable-app.html
©1996-2004 Handweavers Guild of America, Inc.