DCF Grant Modification Request

* indicates required field

Disney Conservation Fund grant recipients should complete this form to request a grant extension and/or budget reallocation for a previously funded project. Extensions and reallocations must be approved by the DCF team. Report extensions will be considered in the event of unforeseen circumstances, however, we will not consider extensions to accommodate travel/vacation/holiday schedules and ask that you plan ahead around these events to meet reporting deadlines. The DCF team will review your grant modification request and respond within 15 business days via e-mail from Corp.Conservation@Disney.com to the Project's Primary Investigator, Project's Grantseeker and the Requester indicated in this form.

*U.S. Organization Name (or U.S. intermediary organization, if applicable)

100 character maximum

Non-US Organization Name (if applicable)

*Project Title

Please list the project title submitted in your original proposal. 100 character maximum.

*Year Disney Funding Was Awarded

*Project Primary Investigator Name

*Project Primary Investigator Email Address

*Grantseeker Name

*Grantseeker E-mail Address

*Requester Name

*Requester E-mail Address

*This Request Is For

Please select all that apply.

Budget Reallocation Mid-Term Report Extension Final Report Extension

*Please Explain Why This Budget Reallocation Is Being Requested

Please describe why this reallocation is being requested, including the reason for any changes in originally planned project activities.

(2000 character maximum)

*Please Explain Why This Mid-Term Report Extension Is Being Requested

Please describe why this extension is being requested, including the reason for any project delays and how challenges will be overcome.

(2000 character maximum)

*Please Explain Why This Final Report Extension Is Being Requested

Please describe why this extension is being requested, including the reason for any project delays and how challenges will be overcome.

(2000 character maximum)

*Updated Budget

For budget reallocation requests, please provide a copy of your updated budget. This should include the originally approved budget with an additional column showing new/updated line items. Please highlight any changes to previously approved line items.