Project Proposal Form - Blackhawk Hills Resource Conservation and Development - Serving Carroll, Jo Daviess, Lee, Ogle, Stephenson and Whiteside Counties

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Area Success Stories
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Project Proposal Form
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Serving Carroll, Jo Daviess, Lee, Ogle, Stephenson and Whiteside Counties

Blackhawk Hills RC&D
102 E. Rte. 30, Suite 2
Rock Falls, IL 61071

Phone (815) 625-3854
Fax: (815) 625-4072
E-mail:info@blackhawkhills.com

Project Proposal Form

Group or Individual Name:
Status:	Individual Group Local Unit of Government (Community, County, SWCD, etc.) Other
Project Title:
Project Description:
Type of Assistance Requested:	Planning (Development of a Plan of Work, Strategic Plan or Longer Range Planning) Group Organization Project Development Grant Research Grant Writing Grant Administration Media Development (Brochures, Flyers, etc.) Event Planning Resource Information Other
Number of members in your TEAM
If you are seeking financial assistance for your project, what is the total estimated cost of your project?
How much grant funding are you seeking?
Where will the remaining funding for your project come from? (Reminder: Most require at least a 50% match to any grant.)	Loans Fundraising Person Equity Tax Revenue In-kind Other
Blackhawk Hills is a not-for-profit (501c3) organization. Funding to support the program comes from the six county governments, the six Soil and Water Conservation Districts and through tax deductible donations. If our assistance results in meeting or exceeding your expectations would you or your group be willing to make a tax deductible donation?	Yes No
If YES to the above question, what is the amount?	I would like the money to be used for: Operations Envirothon Scholarship Economic Development Activities Endowment Fund Council's Discretion
Name:
Address:
City:
State:
Zip:
Phone:
Email: