Request For Assistance Form
Pine Country Resource Conservation and Development Council, Inc.
1905 Martin Luther King Drive, Suite C, Soperton, Georgia 30457
Phone: (912) 529-6652 FAX (912) 529-6000
Project Proposal
Date: ____________________
Project Name: _________________________________________________
County: ________________________
Location: _______________________________________________
Email: __________________________________________________________________________________
Sponsoring organization (city or county
government, SWCD, community organization):_____________________
Name of Primary Contact:
_______________________________________ Phone:
__________________
Description of Project: _______________________________________________________________________
_________________________________________________________________________________________
Expected Benefits: _________________________________________________________________________
Assistance Needed (technical, landscape
architect, etc.): _____________________________________________
Financial Assistance Needed: _________________________________________________________________
Estimated Total Cost:
________________________
This proposal must be approved and
signed by a council member from the originating county and forwarded to the
council office.
RC&D Council Member:
___________________________________ Date:
_______________________
Serving the Counties
of Bleckley, Dodge, Emanuel, Johnson, Laurens, Montgomery, Pulaski, Telfair,
Toombs,