GRANT APPLICATION

FY 2023 Application

Organizational Information

Applying Entity *

Tax ID Number *

(format: ##-#######)

AL Senate District *

AL House District *

Mailing Address *

City *

State

Zip *

Phone Number *

Contact Information

Please use the fields below to fill out primary and secondary contacts for the project.

Primary Contact

First Name *

Last Name *

Title

Email Address *

Cell Phone Number *

Secondary Contact

First Name *

Last Name *

Title

Email Address *

Cell Phone Number *

Project Information

Please use the fields below to tell us more about your project.

Project Name *

County *

Project Summary (limit to 300 characters) *

Brief description of project

Project Objectives (limit to 300 characters) *

What do you hope to accomplish with this project?

Additional Partners

Optional: Please provide a link to any website associated with this project.

Project Budget

Please use the fields below to identify the parts of your project that require funding and where the money will be used.

Total Request for RC&D must be a minimum of $5,000.

Budget Item *

Amount Requested for item *

Budget Item

Amount Requested for item

Budget Item

Amount Requested for item

Budget Item

Amount Requested for item

Budget Item

Amount Requested for item

Total Request for RC&D *

Total Project Budget *

RC&D may offer partial funding. Can your project be completed with partial funding from RC&D?

Yes

Unsure

Signature

All programs and assistance of the RC&D Council are available without regard to race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status.

Sign Here *

Date *

This Application is Complete and Ready for Review

Yes

Additional Comments

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Email address:

First Name

Last Name

If you are human, leave this field blank.

If you have any questions or concerns, please contact Celia Moore at (256) 773-8495 or celia.moore@amrvrcd.com.