PLaCE Program Application

Date

Applicant/ organization name

Name

Type of organization (of the primary applicant)

Local government

Nonprofit

Other

Primary contact information

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Describe the applicant organization and your relationship/role to it. (Please limit your response to fewer than 150 words.)

Describe the need. (Please limit your response to fewer than 200 words.)

Describe the project as you see it. (Please limit your response to fewer than 200 words.)

Describe the abilities, offices, financial resources, local expertise, services that can be offered, etc., reflecting the local organizational strength available to assist in leading to successful implementation of the proposed project(s). (Please limit your response to fewer than 250 words.)

Attach a letter of support for your PLaCE proposal from your local county extension education director and/or area extension community development specialist.

Max. file size: 128 MB.