PROJECT ASSESSMENT FORM
CFRCD Mission:
To conserve natural resources while encouraging sound economic and community development through project funding and implementation in southeastern North Carolina.
Date
-
Month
-
Day
Year
Date
Requesting Organization
Contact Person
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Board Member Sponsor (optional)
Project Name
Project Location
Project Description
Scope of Work (optional)
Focus of Project:
Agricultural Resource or Industry Support
Economic Development
Energy Resources
Watershed Resources or Fish Passage
Coastal Resources
Other
If your project does not fall within the above listed focus categories, please specify the focus and the relevance to CFRCD Mission.
Expected outcomes and implications for the community:
Overall estimated budget:
Grant funding anticipated:
Match funding anticipated:
Budget comments:
Potential funding sources:
Role and tasks for CFRCD board, staff, and partners:
Known or potential obstacles:
Additional pertinent notes:
Pictures or Documents Illustrating Project Location and/or Issues to Remediate (optional)
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of
Recommendation
Recommended: Send to CFRCD Board Approval
Recommended for follow-up proposal with additional information.
Not recommended
Committee Recommendation Notes:
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Should be Empty: