Connecting Communities in Northwest Colorado

	Colorado Big Country Resource Conservation and Development, Inc. Project Assistance Request Form If you would like us to consider your project, please fill out the form, below. For more information or assistance, please email us or contact us at: Colorado Big Country RC&D 144 East 3rd Street Rifle CO 81650 970-210-6093 You can also download our application as a PDF by clicking here.

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. Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact the USDA’s TARGET Center at (202) 7202600 (voice and TDD). To file a complaint of discrimination, write USDA Director, Office of Civil Rights, Room 326W, Whitten Building, 14 th and Independence Avenue SW, Washington, CO 202509410, or call (202) 7205964 (voice and TDD). USDA is an equal opportunity provider and employer. Please note that the information you provide is confidential and will not be traded, exchanged, bartered, sold or made available in any way to a third party.

NAME ADDRESS CITY STATE AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP PHONE FAX EMAIL ADDRESS PLEASE CONFIRM EMAIL ADDRESS IF THIS PROJECT IS FOR A GROUP, BUSINESS, AGENCY OR ORGANIZATION, PLEASE ENTER THE NAME AND ADDRESS: PROJECT TITLE COUNTY (CHECK ALL THAT APPLY) EAGLE   GARFIELD   GRAND   JACKSON MESA   MOFFAT   PITKIN   RIO BLANCO ROUTT   SUMMIT     ALL COUNTIES WATERSHED (IF KNOWN) PROJECT LOCATION (CITY/ADDRESS) CBC PROJECT SPONSOR AND CONTACT INFORMATION ARE YOU A MEMBER OF CBC RC&D? YES    NO PROJECT NARRATIVE REQUIRED PROBLEM STATEMENT Describe the need or problem your project addresses OBJECTIVE State the objective of the proposed project PROJECT DELIVERABLES Describe the item/product produced, if any BENEFITS State the effects that the completed project will have on the economic, social and environmental conditions of the area PROJECT BUDGET Provide a detailed breakdown of the estimated costs associated with the project by identifying known and committed resources, any matching requirements these might have, and a breakdown of needed resources (labor, land, equipment, material, finances) PROJECT TIMELINE Include critical milestones at which project status will be reported to CBC RCD Board PROJECT EVALUATION METHOD Identify the criteria that will be used to evaluate the outcome of the project RECOGNITION Please include how you will recognize CBC RCD for their contribution to the project COUNCIL ASSISTANCE REQUESTED (CHECK ALL THAT APPLY) Project Planning   Locating sources of funds Grant writing          Grant administration Partnership building & networking Organizational support & development Technical Assistance   Other, please specify: