Fluid Power Club Application

School Name

Address

City

State

Zip Code

 

Student Members (Please enter a minimum of 3)

Student 1

Name   

   

Email  

   

Graduation Date  

 

Student 2

Name 

   

Email 

   

Graduation Date 

 

Student 3

Name 

   

Email 

   

Graduation Date 

 

Student 4

Name 

   

Email 

   

Graduation Date 

 

Student 5

Name

   

Email 

   

Graduation Date 

*If you have more than 5 students that will be in the club, please submit them to Amy Zignego at azignego@nfpa.com.

Fluid Power Course(s) offered at your University (Please enter a minimum of 1)

Course Title  

 

Department 

 

Professor 

 

Course Title

   

Department 

 

Professor 

 

Course Title 

   

Department 

 

Professor 

  

 

Club Faculty Advisor 

Club Faculy Advisor Email 

 

*Stipends:

Fluid Power Clubs receive an annual stipend of $2,000 that can be used for:

  • Materials for fluid power projects
  • Catering for events / meetings, especially those involving NFPA industry members. (Alcohol will not be covered)
  • Other costs as approved by Amy Zignego at NFPA

Receipts for these costs should be emailed to Amy Zignego at azignego@nfpa.com.

*Funding is limited based on number of applications received.

 

 

 

Contact Info


6737 W. Washington Street, Suite 2350

Milwaukee, WI 53214

(414) 778-3344 (o)

(414) 778-3361 (f)

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