Point of Contact

Name

Title

Phone

Executive Summary

Projected Start Date

Projected End Date

Project timeline should be no more than one year. Please note if there are any start/end date dependencies, e.g., if the project timeline is dependent on external funding, other approvals, etc.

Dependencies (if any)

Funding Request

Project Description (Detailed description that expands upon the Executive Summary. Limit 3 pages.

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Project Goals

Project Metrics

Milestones

Project Outcomes

Project Team

Resume(s)

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Budget Narrative—Using the provided budget narrative template, list all sources and uses by fiscal year—July 1 to June 30.

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Plan for Sustainable Funding

Risk Management Plan

Organizational Capacity

Letter of Support

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Letter of Support

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Maps, Site Plans, or Permit Details (If Applicable)

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*Please email additional resumes, letters of support or other supporting documents to and indicate the associated project's name in the subject of the message.

Signature

Today's Date

Your application has been submitted.

Online Application

Point of Contact

Project timeline should be no more than one year. Please note if there are any start/end date dependencies, e.g., if the project timeline is dependent on external funding, other approvals, etc.

*Please email additional resumes, letters of support or other supporting documents to kmoody@uvawise.edu and indicate the associated project's name in the subject of the message.

*Please email additional resumes, letters of support or other supporting documents to and indicate the associated project's name in the subject of the message.