Richard Blake Scholarship Application

The Richard Blake Scholarship honors its late namesake who was a former Ohio Credit Union League director, board chairman, and director emeritus, and former CUNA national director by providing funds for the registration costs to attend the GAC. In situations of extreme and well-explained need, funds may also be awarded for lodging and transportation.

Please note:

Credit unions will be reimbursed after the event is successfully completed and a grant results report is received.
Deadline for applications is 30 days before the first day of the CUNA GAC.

Grant Application

Date of Application*
MM slash DD slash YYYY
Applicant Name*
Credit Union*
Credit Union EIN*
Grant Request Contact, if different
Title*
Phone, with extension*
E-Mail*
CU CEO/President*
CU Address*
Street Address Address Line 2 City State ZIP / Postal Code
Asset Size*
Number of Employees*
Number of Members*
Field of Membership*
Title of Program Attending*

Attach information that documents the program’s curriculum and cost.
Have you registered already?*
How will your credit union and its members benefit from your attendance?*
IN A PARAGRAPH, describe specifically how the elements you mentioned in the previous question will be useful AND what in your credit union they will assist with*
What three educational goals have you set for yourself for this experience?*
IN A PARAGRAPH, describe why each of the above-stated goal is important AND how they will help your credit union.*
How will what you learn be shared with others in your credit union and included in its strategic decisions?*
Why will this program be valuable?*
Explain your role and responsibilities at your credit union and how attending the GAC factors into them.
What two or three issues are you eager to discuss with members of Congress and their staff?*
Program/Registration cost*
Lodging cost*
Transportation cost*
Other cost*
Total Budget*
A detailed budget MUST be attached to your grant application (along with event curriculum and cost detail, if appropriate). The detailed budget should specify which lines items the Foundation grant would cover and which the credit union and other community partners will fund.
CU Funding Contribution*
Funding you're requesting from Foundation*
Specifically, why does your CU need this grant funding assistance?*
Authorization*

By typing the name of your supervisor/manager/CEO, you attest that they consent to you applying for an OCUF grant.
Outside of this Foundation grant request, how else can the League’s staff be of assistance to your credit union?*
Attachment
Max. file size: 50 MB.
CAPTCHA

OCUF FUNDING RECOGNITION

Successful applicants must mention the Ohio Credit Union Foundation as having provided grant funding in all press releases, news stories, articles, interviews, and website references. A suggested credit line is the following: “[Your Credit Union Name] received funding through a grant from the Ohio Credit Union Foundation.” Copies of the above materials must be provided to the OCUF.

Christy Clark Director, Member Success E: cclark@ohiocul.org

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