Seattle City Light | Wildlife Research Project

Application Form

Wildlife Research Program

Skagit River Hydroelectric Project

Applicant Information

Name of organization: _______________________________________________
Type of organization:

Govt. agency
Educational institution
Non-profit
Private firm
Individual
Tribal

Contact person: ___________________________________
Phone: __________________________________
Address:_________________________________________________________
_________________________________________________________________
_________________________________________________________________
Fax: ___________________________________
E-mail: ___________________________________________

Project Information

Title: _________________________________________________________
Location: ____________________________________________________
Start date: _______________________________
Completion date: ____________________________________
Attachments:

Pre-Proposal (Complete)
Map of Study Area

Total number of pre-proposals submitted by applicant: _____
If more than one pre-proposal is being submitted, what is the priority ranking of this proposal? __________
Does this proposal duplicate or substitute for usual agency responsibilities? _______
Is this a multi-year or multi-phase proposal? _____
What long-term WRP goals are addressed by your proposal? ______________

Budget

*Funding source*
Wildlife Reseach Program Grant (proposed amount)	$
In-kind funds	$
Other funds	$
*Total*	$

Signature: _______________________________________________
Date: ______________________________

Download this form in other formats:

Application Form as an MS Word Document (13K)
Application Form as an Acrobat PDF Document (14K)

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