M&M Divide RC&D Proposal Forms

Please complete the Project Application form for printing. After filling out the requested information click "Create Printable form" at the bottom of the page. You will then be provided with a printer friendly application. The print link is located at the bottom of the of the printer friendly page.

Project Application

Project Name:

Project Sponsor:

Contact Person:

Name:

Address:

Email:

Fill in the required fields to create a printable form.

Fax:

Phone:

Cell:

Describe the Project Need:

Describe the Project Objectives:

Describe the role that the applicant expects RC-D to Play:

Type of Assistance Requested:

Organizational

eg. establish non-

profit, etc

Planning

eg. developing

bus. plan etc

Technical

Financial

Grant Writing

How much time will be required of RC-D? -Estimate a range of time

Individuals and/or groups interested in working on project - include

letters of support, volunteers, etc

Budget- Include an estimate of total project cost, partner contributions

and any other leveraged funds

Anticipated measure of project success -i.e. desired outcomes

Info/Edu.

Project timeline- Estimate a range of time: