Pac Rim - Preliminary Application for Assistance

Eagle Cap RC&D Council Assistance

Preliminary Application for Assistance

Thank you for seeking assistance from the Eagle Cap RC&D Council. In order to provide the best service required by you, please fill out the following questions as detailed as possible so that we may consider your request for assistance.

* 1. Where is your project located?

* 2. Provide a BRIEF SUMMARY of the project.

* 3. Which of the following does your project address?

* 4. Please explain how your project addresses your choice(s) above.

* 5. From what other RESOURCE PROVIDERS have you sought assistance? What was their response?

* 6. What ALTERNATIVES have you considered? Which plan was selected?

* 7. What TYPE(S) OF ASSISTANCE do you need from the Eagle Cap RC&D Council in order to achieve your goals?

* 8. ESTIMATED COST (Dollars):

PROJECT MANAGER -- Please designate one person. All communication regarding this project will be directed to this person.

* Today's DATE (mm/dd/yyyy)

* NAME and TITLE

* ADDRESS

E-MAIL (emailaddress@yourdomain.com)

* TELEPHONE

FAX

The Eagle Cap RC&D Council provides all services without regard to race, color, national origin, age, sex, religion, marital status, handicap or disability.

Updated November 2003

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